Tillotson, Timmothy Nelson

Tillotson, Timmothy Nelson is an sole proprietor health care provider with primary practice located at 4850 A1A S , St Augustine FL 32080-7447. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Tillotson, Timmothy Nelson can be contacted via phone (904) 377-7431.

Contact Information

Primary practice address
4850 A1A S St Augustine FL 32080-7447
Phone: (904) 377-7431
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW0004306 Florida
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW00296 Minnesota

Profile Details

NPI number 1336293836
LBN Legal business name Tillotson, Timmothy Nelson
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 22nd, 2007
Last updated Sep 29th, 2014 - about 10 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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