Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

MS. Tiffany Renee Ellis

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1699964585

MS. Tiffany Renee Ellis is an Addiction (Substance Use Disorder) Counselor in South Lake Tahoe, California. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

1120 3rd St
South Lake Tahoe, CA 96150-3451
Phone: (530) 573-3386
Fax: (530) 543-6697
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X

Record details

NPI number1699964585
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 17, 2007
Last updated in NPPESOctober 17, 2007

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