Provider Demographics
NPI:1750799425
Name:TIFFANY L. WERHNER, MS, LMHC, PA
Entity type:Organization
Organization Name:TIFFANY L. WERHNER, MS, LMHC, PA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:TIFFANY
Authorized Official - Middle Name:L
Authorized Official - Last Name:WERHNER
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LMHC, PA
Authorized Official - Phone:239-200-8433
Mailing Address - Street 1:685 MAIN ST
Mailing Address - Street 2:SUITE C
Mailing Address - City:SAFETY HARBOR
Mailing Address - State:FL
Mailing Address - Zip Code:34695-3562
Mailing Address - Country:US
Mailing Address - Phone:239-200-8433
Mailing Address - Fax:
Practice Address - Street 1:685 MAIN ST
Practice Address - Street 2:SUITE C
Practice Address - City:SAFETY HARBOR
Practice Address - State:FL
Practice Address - Zip Code:34695-3562
Practice Address - Country:US
Practice Address - Phone:239-200-8433
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-25
Last Update Date:2014-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH10651101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty