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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TIFFANY BAILLY-RENNER, LMSW

Active Sole Proprietor

TIFFANY BAILLY-RENNER, LMSW is a Community/Behavioral Health healthcare provider located in COEUR D ALENE, Idaho. NPI 1891014320 is currently active in the NPPES registry. Verify at CMS.

Community/Behavioral Health · COEUR D ALENE, ID

Registration Details

NPI Number
1891014320
Provider Type
Individual
Gender
Female
NPI Issued
May 24, 2010 (16.213334254842 yrs)
Last Updated
May 24, 2010
License
30167 (ID)
Sole Proprietor
Yes

Practice Information

Address
1200 W IRONWOOD DR
COEUR D ALENE, ID, 838142660
Browse ID providers · Browse ZIP 83814
Phone
2086649729
Fax
2082637515
Primary Specialty
Community/Behavioral Health
251S00000X

Other Community/Behavioral Health Providers in COEUR D ALENE, ID

Name Credential NPI
MELISSA DECKER 1730045824
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.