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TIFFANY A REVILLA SUD COUNSELOR
NPI 1124613674
Counselor - Addiction (Substance Use Disorder) in Santa Rosa, CA

Active since March 06, 2021
3555 SONOMA HWY, SANTA ROSA, CA 95409(707) 526-3150(707) 581-2155 Get Directions Write a Review

NPPES record last updated: March 6, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Tiffany A Revilla Sud Counselor NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIFFANY A REVILLA SUD COUNSELOR (NPI 1124613674) is an individual addiction (substance use disorder) provider in Santa Rosa, California, licensed in California (11616) and active in the NPI registry since March 2021.

NPPES Registry Identity

NPI1124613674
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameTIFFANY A REVILLACredential: SUD COUNSELOR
Location Address3555 SONOMA HWYSanta Rosa, CA 95409-4024
Mailing Address3555 Sonoma HwySanta Rosa, CA 95409-4024 · (707) 526-3150 · Fax (707) 581-2155
Phone(707) 526-3150
Fax(707) 581-2155
Sole ProprietorNo
Enumeration DateMarch 6, 2021
NPPES CertifiedMarch 6, 2021
✔ NPI 1124613674 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in CA · 11616
3555 SONOMA HWY, Santa Rosa, CA 95409
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Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALOFA JENNIFER TIAPEPE
Counselor (Addiction (Substance Use Disorder))
3555 SONOMA HWY
SANTA ROSA, CA 95409
Sonoma County (707) 495-4342
SHANNON ANN KOLLERER LEAD CARE MANAGER
Rehabilitation Practitioner
3555 SONOMA HWY
SANTA ROSA, CA 95409
Sonoma County (707) 526-3150
YOLANDA AMADA GROSE
Counselor (Addiction (Substance Use Disorder))
3555 SONOMA HWY
SANTA ROSA, CA 95409
Sonoma County (707) 526-3150
CALIFORNIA HUMAN DEVELOPMENT CORPORATION
Substance Abuse Rehabilitation Facility
3555 SONOMA HWY
SANTA ROSA, CA 95409
Sonoma County (707) 526-3150
ELECTRA KM ESTRADA CATC
Counselor (Addiction (Substance Use Disorder))
3555 SONOMA HWY
SANTA ROSA, CA 95409
Sonoma County (707) 526-3150

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tiffany Revilla's NPI number?

The NPI number for Tiffany Revilla is 1124613674. It was assigned to this individual provider in the NPPES registry on March 6, 2021.

Where is Tiffany Revilla located?

Tiffany Revilla practices at 3555 Sonoma Hwy, Santa Rosa, CA 95409. The listed phone number is (707) 526-3150.

What is Tiffany Revilla's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Tiffany Revilla was last updated on March 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.