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NPI Code Detail

MEDICARE: GENEE TINSLEY

MEDICARE: GENEE TINSLEY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorMH16153FL

General Provider Information

NPI Number : 1225516115
Entity Type Code : Individual
Provider Name (Legal Business Name) : GENEE TINSLEY
Provider Business Mailing Address
First Line : 13373 KINGSBURY DR
Second Line :
City : WELLINGTON
State : FL
Zip : 33414-3923
Country : US
Telephone Number : 561-900-8639
Fax Number :
Provider Business Practice Location Address
First Line : 230 S DIXIE HWY
Second Line :
City : LAKE WORTH
State : FL
Zip : 33460-4154
Country : US
Telephone Number : 561-533-6640
Fax Number : 561-533-6882
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/01/2018
Last Update Date : 08/01/2018

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Directions to “ GENEE TINSLEY ” Practice Location

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