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

Tiffany Juliana Mordente

Individual provider Mental Health Counselor · NPI 1417641986

Tiffany Juliana Mordente is a Mental Health Counselor in Massapequa Park, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2023

Practice location Address checks out

4770 Sunrise Hwy Ste 102
Massapequa Park, NY 11762-2911
Phone: (516) 406-8991
Show map & directions

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

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence P119572 (NY)

Record details

NPI number1417641986
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 6, 2023
Last updated in NPPESJuly 20, 2026
Certification dateJuly 20, 2026

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