GERRI ARNETTA TILLEY


Address: 5201 Kenilworth Ave, Baltimore, MD 21212-4337
Phone: 4432206838

GERRI ARNETTA TILLEY (NPI# 1306288915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1306288915
Entity Type Individual
Full Name GERRI ARNETTA TILLEY
Credential LCPC
Practice Address 5201 Kenilworth Ave
Baltimore
MD 21212-4337
Practice Telephone 4432206838
Mailing Telephone 4432206838
Enumeration Date 2013-07-24
Last Update Date 2013-07-24
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
LC4370 MD Behavioral Health & Social Service Providers

Office Location

Street Address 5201 KENILWORTH AVE
City BALTIMORE
State MD
Zip Code 21212-4337

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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

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1649804840 Brittany Michelle Chadsey Counselor 1 N Charles St Ste 602, Baltimore, MD 21201-3732 2020-02-26
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Competitor

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City BALTIMORE
Zip Code 21212

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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