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

Tiffani Wallace

Individual provider Mental Health Counselor · NPI 1598378234

Tiffani Wallace is a Mental Health Counselor in Hawthorne, California. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
2
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Practice location Address checks out

2509 W 115th Pl
Hawthorne, CA 90250-1968
Phone: (323) 961-0129
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1598378234
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 24, 2020
Last updated in NPPESAugust 27, 2020
Certification dateAugust 27, 2020
Mailing address17671 Peachtree Ln, Carson, CA 90746-7489

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