CARL MICHAEL TIERNEY (NPI# 1841842333) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841842333 |
| Entity Type | Individual |
| Full Name | CARL MICHAEL TIERNEY |
| Credential | RMHCI |
| Practice Address |
1353 N Courtenay Pkwy Ste L Merritt Island FL 32953-4463 |
| Mailing Address |
8425 Martinson St Orlando FL 32827-7442 |
| Practice Telephone | 3219785122 |
| Mailing Telephone | 4072791169 |
| Enumeration Date | 2019-07-15 |
| Last Update Date | 2019-10-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
IMH18616 | FL | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2700 Westhall Ln Ste 207, Maitland, FL 327517478 | 4072791169 |
| Street Address |
1353 N COURTENAY PKWY STE L |
| City | MERRITT ISLAND |
| State | FL |
| Zip Code | 32953-4463 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235617432 | Medfast Urgent Care Centers, LLC | Clinic/Center | 390 N. Courtenay Pkwy, Merritt Island, FL 32953 | 2018-07-31 |
| 1801277652 | Karen Kinchin | Marriage & Family Therapist | 2460 N Courtenay Pkwy #114, Merritt Island, FL 32953 | 2015-06-17 |
| 1033528716 | Love Seniors Home Inc | Residential Treatment Facility, Physical Disabilities | 460 Sail Lane, Merritt Island, FL 32953 | 2014-08-07 |
| 1861835738 | All One Family Senior Day Program Inc | Clinic/Center | 585 N . Courtenay Pkwy Suite #101, Merritt Island, FL 32953 | 2013-04-10 |
| 1649517848 | Joanna Knopf | Counselor | 2460 N Courtenay Pkwy Ste 114, Merritt Island, FL 32953 | 2013-01-08 |
| 1518211788 | Todd Bradley Pearcy | Speech-Language Pathologist | 1200 South Courtenay Pkwy, Merritt Island, FL 32953 | 2012-11-09 |
| 1881946630 | David Bhola | Family Medicine | 2404 N Courtenay Pkwy Ste D, Merritt Island, FL 32953 | 2012-10-03 |
| 1417240003 | Kimberly Anderson | Community Health Worker | 900 North Courtenay Parkway, Suite 1, Merritt Island, FL 32953 | 2011-05-16 |
| 1972815835 | Ali Correa | Dentist | 229 Crocket Blvd, Merritt Island, FL 32953 | 2010-07-08 |
| 1699972521 | Shandy M. Monborne | Specialist | 237 N. Grove St, Merritt Island, FL 32953 | 2007-07-03 |
| Find all providers in zip 32953 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528677069 | Danica Marie Stroup | Counselor | 250 N Banana River Dr Apt F3, Merritt Island, FL 32952-2566 | 2020-07-30 |
| 1639705759 | True You Brevard LLC | Counselor | 2030 S Courtenay Pkwy, Merritt Island, FL 32952-3912 | 2020-03-20 |
| 1356985766 | Mccallister Family Counseling | Counselor | 415 Magnolia Ave Ste 202, Merritt Island, FL 32952-4842 | 2019-10-30 |
| 1619478377 | Lisa Ann Sweeny | Counselor | 270 N Sykes Creek Pkwy Ste 103, Merritt Island, FL 32953-3494 | 2018-02-27 |
| 1275072597 | Florida Pain Relief Group Pllc | Counselor | 595 N Courtenay Pkwy Ste 203b, Merritt Island, FL 32953-4790 | 2017-02-20 |
| 1124486279 | Kerry Berner | Counselor | 270 N Sykes Creek Pkwy Ste 106, Merritt Island, FL 32953-3494 | 2016-02-03 |
| 1487065512 | Kimberly Michelle Florescu | Counselor | 8235 Shoreside Ln, Merritt Island, FL 32952-6700 | 2014-05-12 |
| 1801224787 | Amy Jordan | Counselor | 335 Hibiscus Ave, Merritt Island, FL 32953-4750 | 2013-10-31 |
| 1225378896 | Melanie Macintyre | Counselor | 175 Cone Rd, Merritt Island, FL 32952-4956 | 2013-02-19 |
| 1548510134 | Michael James Mijon | Counselor | 222 Via Havarre, Merritt Island, FL 32953-2919 | 2012-09-11 |
| Find all providers in MERRITT ISLAND | ||||
| City | MERRITT ISLAND |
| Zip Code | 32953 |
Please comment or provide details below to improve the information on CARL MICHAEL TIERNEY.
| 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.