Provider Demographics
NPI:1407739931
Name:MAPLES, TIFFANY ANN (MA, LMCA)
Entity type:Individual
Prefix:
First Name:TIFFANY
Middle Name:ANN
Last Name:MAPLES
Suffix:
Gender:F
Credentials:MA, LMCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6209 119TH ST E
Mailing Address - Street 2:
Mailing Address - City:PUYALLUP
Mailing Address - State:WA
Mailing Address - Zip Code:98373-4582
Mailing Address - Country:US
Mailing Address - Phone:757-710-2024
Mailing Address - Fax:
Practice Address - Street 1:8903 KEY PENINSULA HWY NW
Practice Address - Street 2:
Practice Address - City:LAKEBAY
Practice Address - State:WA
Practice Address - Zip Code:98349-9326
Practice Address - Country:US
Practice Address - Phone:253-260-6366
Practice Address - Fax:253-884-2632
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-30
Last Update Date:2025-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC61690207101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health