Provider Demographics
NPI:1750084232
Name:ROOK, TIFFANY S (MS, CEO)
Entity type:Individual
Prefix:
First Name:TIFFANY
Middle Name:S
Last Name:ROOK
Suffix:
Gender:F
Credentials:MS, CEO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:8025 N POINT BLVD STE 149
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27106-3262
Mailing Address - Country:US
Mailing Address - Phone:336-666-2750
Mailing Address - Fax:336-666-2743
Practice Address - Street 1:8025 N POINT BLVD STE 149
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27106-3262
Practice Address - Country:US
Practice Address - Phone:336-666-2750
Practice Address - Fax:336-666-2743
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-23
Last Update Date:2023-03-23
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health