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MISS TIFFANIE SHEREA CLARK RMA
NPI 1255150033
Assisted Living Facility - Assisted Living, Mental Illness in Holly, MI

Active since October 08, 2024
5130 ROSE HILL BLVD, HOLLY, MI 48442(248) 531-2407(248) 531-2407 Get Directions Write a Review

NPPES record last updated: October 8, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Miss Tiffanie Sherea Clark Rma NPPES

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

MISS TIFFANIE SHEREA CLARK RMA (NPI 1255150033) is an individual assisted living, mental illness provider in Holly, Michigan, licensed in Michigan (27753640) and active in the NPI registry since October 2024.

NPPES Registry Identity

NPI1255150033
Entity TypeIndividualFemale
Primary Taxonomy3104A0625X
Provider Legal NameMISS TIFFANIE SHEREA CLARKCredential: RMA
Location Address5130 ROSE HILL BLVDHolly, MI 48442-9507
Mailing Address5130 Rose Hill BlvdHolly, MI 48442-9507 · (248) 531-2407 · Fax (248) 531-2407
Phone(248) 531-2407
Fax(248) 531-2407
Sole ProprietorYes
Enumeration DateOctober 8, 2024
NPPES CertifiedOctober 8, 2024
✔ NPI 1255150033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living Facility · Assisted Living, Mental IllnessNursing & Custodial Care Facilities
Taxonomy Code3104A0625X
License✔ Licensed in MI · 27753640
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.
5130 ROSE HILL BLVD, Holly, MI 48442
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Other Names 1

Former Name (1)Tiffanie Thomas

Other Providers at the Same Location NPPES 20

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

TE'ASIA RUTH DUNK
Case Manager/Care Coordinator
5130 ROSE HILL BLVD
HOLLY, MI 48442
Oakland County (248) 634-5530
ROSE HILL CENTER INC
Community Based Residential Treatment Facility, Mental Illness
5130 ROSE HILL BLVD
HOLLY, MI 48442
Oakland County (248) 634-5530
KELLI LAWRENCE
Social Worker (Clinical)
5130 ROSE HILL BLVD
HOLLY, MI 48442
Oakland County (248) 634-5530
KELLY COLLEEN MILTIMORE PATRICK BSN, RN, CAS
Registered Nurse (Psychiatric/Mental Health, Adult)
5130 ROSE HILL BLVD
HOLLY, MI 48442
Oakland County (248) 634-5530
KATELYN MARIE ANTHONY LLBSW
Social Worker
5130 ROSE HILL BLVD
HOLLY, MI 48442
Oakland County (248) 634-5530
JOHN HALICK LMSW
Social Worker (Clinical)
5130 ROSE HILL BLVD
HOLLY, MI 48442
Oakland County (248) 634-5130
JESSICA MARTIN
Social Worker (Clinical)
5130 ROSE HILL BLVD
HOLLY, MI 48442
Oakland County (248) 634-5530
MADISON CLAIR MORGAN
Social Worker (Clinical)
5130 ROSE HILL BLVD
HOLLY, MI 48442
Oakland County (248) 634-5530

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 Tiffanie Clark's NPI number?

The NPI number for Tiffanie Clark is 1255150033. It was assigned to this individual provider in the NPPES registry on October 8, 2024. The provider is also known as Tiffanie Thomas.

Where is Tiffanie Clark located?

Tiffanie Clark practices at 5130 Rose Hill Blvd, Holly, MI 48442. The listed phone number is (248) 531-2407.

What is Tiffanie Clark's specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Mental Illness, with taxonomy code 3104A0625X.

When was this NPI record last updated?

The NPPES record for Tiffanie Clark was last updated on October 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.