Provider Demographics
NPI:1669908638
Name:FOLEY, TIFFANY (LADC, LSW)
Entity type:Individual
Prefix:MRS
First Name:TIFFANY
Middle Name:
Last Name:FOLEY
Suffix:
Gender:F
Credentials:LADC, LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1900 SILVER LAKE ROAD
Mailing Address - Street 2:SE 110
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55112-0474
Mailing Address - Country:US
Mailing Address - Phone:763-746-9492
Mailing Address - Fax:
Practice Address - Street 1:1900 SILVER LAKE ROAD
Practice Address - Street 2:SE 110
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55112-0474
Practice Address - Country:US
Practice Address - Phone:763-746-9492
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-05-11
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health