Tilley, Timothy Wayne

Tilley, Timothy Wayne is an individual health care provider with primary practice located at 1303 Greensboro Street Ext , Lexington NC 27295-1924. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Tilley, Timothy Wayne can be contacted via phone (336) 249-0237.

Contact Information

Primary practice address
1303 Greensboro Street Ext Lexington NC 27295-1924
Phone: (336) 249-0237
Fax: (336) 243-7685
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 556 North Carolina

Profile Details

NPI number 1407900111
LBN Legal business name Tilley, Timothy Wayne
Credentials LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 22nd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407900111 NPPES
North Carolina MEDICAID 6105014

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