Provider / Organization | NPI | Date Certified |
---|---|---|
DONNA TILLEY | 1720687197 | 2020-10-18 |
Donna Tilley is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1720687197. Registration indicates Donna Tilley is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Counselor (Behavioral Health & Social Service Providers, Counselor) (Counselor: Professional, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Counselor Professional, Behavioral Health & Social Service Providers) (Counselor, )
Entity Type | Individual |
Provider Name | Donna Tilley LPC |
Practice Office Address | 1170A E GANNON DR FESTUS, MO US |
Practice Office Telephone | 6363126161 |
Practice Office Fax | 8887174730 |
Mailing Address | 2838 S GRAND BLVD SAINT LOUIS, MO 631181033 US |
Business Telephone | 3142460560 |
Business Fax | 8887174730 |
email [mail] | [email protected] | Direct |
Code | Practice | License No State |
---|---|---|
101YP2500X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Counselor Behavioral Health & Social Service Providers Counselor Counselor: Professional Behavioral Health/Substance Abuse/Psychiatry Counselor Professional Behavioral Health & Social Service Providers Counselor |