Tankersley, Lelia Anne
Tankersley, Lelia Anne is an sole proprietor health care provider with primary practice located at 22 Linwood Ave , Bel Air MD 21014-3951. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Tankersley, Lelia Anne can be contacted via phone (410) 877-3245.Contact Information
Primary practice address
22 Linwood Ave
Bel Air MD 21014-3951
Phone: (410) 877-3245
Fax: (410) 877-3245
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 04667 | Maryland |
Profile Details
| NPI number | 1851429088 |
|---|---|
| LBN Legal business name | Tankersley, Lelia Anne |
| Credentials | L.C.S.W.-C. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 1st, 2007 |
| Last updated | Jul 9th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1851429088 | NPPES |
| Maryland | MEDICAID | 1069012 00 | |
| Maryland | Other | 42175504 | |
| Maryland | Other | 4474386 | |
| Maryland | Other | R4500001 |
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