Provider Demographics
NPI:1831739291
Name:TIFFANY MCCAUGHEY, PHD LLC
Entity type:Organization
Organization Name:TIFFANY MCCAUGHEY, PHD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:TIFFANY
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCAUGHEY
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:504-495-5559
Mailing Address - Street 1:4545 WHITEHAVEN ST
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70808-3875
Mailing Address - Country:US
Mailing Address - Phone:504-495-5559
Mailing Address - Fax:
Practice Address - Street 1:2223 QUAIL RUN STE H1
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70808-9063
Practice Address - Country:US
Practice Address - Phone:225-366-8098
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-13
Last Update Date:2020-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health