| Doctor Name: | TIFFANY MARIE BANYE |
| NPI Number: | 1184098725 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 011134162 |
| Business Practice Address: | 5341 Citrus Blvd Apt L272 River Ridge, LA - 701237935 |
| Business Phone Number: | 4056405966 |
| Business Fax Number: | |
| Mailing Address: | 9270 Siegen Ln Bldg 101, BATON ROUGE |
| State: | LA |
| Postal Code: | 708101999 |
| Phone Number: | 2254423540 |
| Fax Number: | |
| NPI Enumeration Date: | 11/19/2015 |
| NPI Last Update Date: | 11/19/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041S0200X |
| License Number: | 011134162 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |