Provider Demographics
NPI:1760282438
Name:TIGHE, JANET M (BS, CAP, NOTARY)
Entity type:Individual
Prefix:
First Name:JANET
Middle Name:M
Last Name:TIGHE
Suffix:
Gender:F
Credentials:BS, CAP, NOTARY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:308 JACKSON AVE
Mailing Address - Street 2:
Mailing Address - City:GREENACRES
Mailing Address - State:FL
Mailing Address - Zip Code:33463-3318
Mailing Address - Country:US
Mailing Address - Phone:561-310-3614
Mailing Address - Fax:561-310-3614
Practice Address - Street 1:1639 FORUM PL STE 1
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33401-2330
Practice Address - Country:US
Practice Address - Phone:561-712-8821
Practice Address - Fax:561-712-8821
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-13
Last Update Date:2025-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLADC-007375-2015101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)