Provider Demographics
NPI:1710239355
Name:POIER, TIFFANI RENE (IMFT)
Entity type:Individual
Prefix:
First Name:TIFFANI
Middle Name:RENE
Last Name:POIER
Suffix:
Gender:
Credentials:IMFT
Other - Prefix:
Other - First Name:TIFFANI
Other - Middle Name:RENE
Other - Last Name:CANINO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, MFT
Mailing Address - Street 1:815 N UNION ST
Mailing Address - Street 2:
Mailing Address - City:LOUDONVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44842-1052
Mailing Address - Country:US
Mailing Address - Phone:330-473-5601
Mailing Address - Fax:
Practice Address - Street 1:25111 COUNTRY CLUB BLVD STE 290
Practice Address - Street 2:
Practice Address - City:NORTH OLMSTED
Practice Address - State:OH
Practice Address - Zip Code:44070-5330
Practice Address - Country:US
Practice Address - Phone:216-468-5000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-10-05
Last Update Date:2025-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHF.2400430106H00000X
M.1800018-TEMP106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH1073952271Medicaid