MEDICARE: PATRICE TILSON LMHC

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
1	101YM0800X	Mental Health Counselor	MH2473	FL

General Provider Information

NPI Number	:	1477404333
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PATRICE TILSON LMHC

Provider Business Mailing Address
First Line	:	5745 NW 119TH TER
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33076-4030
Country	:	US
Telephone Number	:	954-683-8225
Fax Number	:

Provider Business Practice Location Address
First Line	:	5745 NW 119TH TER
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33076-4030
Country	:	US
Telephone Number	:	954-683-8225
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/06/2026
Last Update Date	:	03/04/2026

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Directions to “ PATRICE TILSON LMHC” Practice Location

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