Individual ProviderTiffany DeppCase Manager/Care CoordinatorOther Service ProvidersPractice Address5577 Airport Hwy Ste 102, Toledo, OH 43615-7364(419) 214-1770(419) 297-1664PECOS EnrollmentBased on the most recent information from CMS, provider Tiffany Depp does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 7 days ago.Profile DetailsProvider ID1104382563Provider TypeIndividualFull NameDepp, TiffanyCredentialCDCA,QMHSGenderFemaleSole ProprietorYesEnumeration Date2/11/2019Last Updated5/5/2023Contact InformationPractice LocationPractice Address5577 Airport Hwy Ste 102, Toledo, OH 43615-7364Phone(419) 214-1770FaxUnlisted FaxMailing LocationMailing Address2238 Dunham St, Toledo, OH 43609-1639Phone(419) 297-1664FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode171M00000XPrimaryDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted IssuerOhioCode101YA0400XDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerOhio