Tiffany Michelle Whitehurst, | |
314 E Main St Ste 403, Newark, DE 19711-7182 | |
(302) 369-3533 | |
(302) 369-3093 |
Full Name | Tiffany Michelle Whitehurst |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 314 E Main St Ste 403, Newark, Delaware |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801430368 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | PC-0000874 (Delaware) | Primary |
Entity Name | Jdj Medical Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699200873 PECOS PAC ID: 4385912963 Enrollment ID: O20170623000110 |
Mailing Address | Practice Location Address |
---|---|
Tiffany Michelle Whitehurst, 115 Highland Blvd Apt C, New Castle, DE 19720-6932 Ph: (302) 480-8668 | Tiffany Michelle Whitehurst, 314 E Main St Ste 403, Newark, DE 19711-7182 Ph: (302) 369-3533 |
Lindley Thomas, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 723 Dawson Dr, Newark, DE 19713 Phone: 302-239-4025 Fax: 410-569-9497 | |
Stacey Schecter, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 261 Chapman Rd, Stockton Building, Newark, DE 19702 Phone: 302-266-3246 | |
Mrs. Shante Nichole Lee Wood, M.ED. Counselor Medicare: Not Enrolled in Medicare Practice Location: 5 Spruce Ct, Newark, DE 19702 Phone: 610-842-7524 | |
Precious Morris-browning, Counselor Medicare: Not Enrolled in Medicare Practice Location: 256 Chapman Rd, Newark, DE 19702 Phone: 302-292-1334 | |
Monisha Dennis, Counselor Medicare: Not Enrolled in Medicare Practice Location: 256 Chapman Rd Ste 201, Newark, DE 19702 Phone: 302-292-1334 | |
Jacqueline L Akins, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 288 E Main St, Newark, DE 19711 Phone: 302-731-1022 | |
Cathy Teoli-lavallee, LPCMH, LCDP Counselor Medicare: Not Enrolled in Medicare Practice Location: 1400 Peoples Plz, Suite 127, Newark, DE 19702 Phone: 302-595-2380 Fax: 302-595-2382 |