Willowdean Tiller in Panama City - Addiction (substance Use Disorder)
Willowdean Tiller - NPI 1033109350
Willowdean Tiller is a Addiction (substance Use Disorder) in Panama City, Florida. Willowdean Tiller practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Willowdean Tiller is 1033109350. The last update date is 2015-06-30.
Willowdean Tiller's current location address is 801 Jenks Ave, Panama City, Florida. You can contact this provider via phone number 8506401020 and fax number 8506401022. The mailing address for Willowdean Tiller is 801 Jenks Ave, Panama City, Florida. To know further, please read the information below!
Provider Profile Detail
Provider Name | Willowdean Tiller |
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Address | 801 Jenks Ave, Panama City, Florida |
Phone Number | 8506401020 |
Fax Number | 8506401022 |
Sole Proprietor | N |
Credentials | LMHC |
NPI Number Detail
NPI Number | 1033109350 |
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Provider Enumeration Date | 2005-10-27 |
Last Updated Date | 2015-06-30 |
Provider Mailing Address Detail
Address | 801 Jenks Ave |
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City | Panama City |
State | Florida (FL) |
Post Code | 324012576 |
Phone Number | 8506401020 |
Fax Number | 8506401022 |
Provider's Primary Taxonomy Detail
Speciality | Addiction (substance Use Disorder) |
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Taxonomy | 101Ya0400X |
Licence No | 984 |
Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
762242200 | FL | -- |
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What is the Willowdean Tiller's 1033109350?
The Willowdean Tiller's NPI (National Provider Identifier) Number is 1033109350. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Willowdean Tiller?
The Willowdean Tiller is situated at 801 Jenks Ave, in the city of Panama City, state of FL, with the zip code 324012576.
What is the area of specialization for Willowdean Tiller, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Willowdean Tiller is Addiction (substance Use Disorder), and the corresponding taxonomy code that categorizes this area of expertise is 101Ya0400X.
When was the Willowdean Tiller's 1033109350 issued?
The Willowdean Tiller's 1033109350 was issued on 2005-10-27.
As of what date were the Willowdean Tiller's details last updated?
The information pertaining to the Willowdean Tiller, including its address, specialty, and other details, was most recently updated on 2015-06-30.