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NPI Code Detail

MEDICARE: MRS. DENISE LEA TILLMANNSHOFER

MEDICARE: MRS. DENISE LEA TILLMANNSHOFER
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
1101YP2500XProfessional Counselor5426TN
2101YM0800XMental Health Counselor5426TN

General Provider Information

NPI Number : 1235647801
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. DENISE LEA TILLMANNSHOFER
Provider Business Mailing Address
First Line : 6339 CHARLOTTE PIKE # 1260
Second Line :
City : NASHVILLE
State : TN
Zip : 37209-2926
Country : US
Telephone Number : 296-204-4422
Fax Number :
Provider Business Practice Location Address
First Line : 116 AGNES RD
Second Line :
City : KNOXVILLE
State : TN
Zip : 37919-6306
Country : US
Telephone Number : 296-204-4422
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/17/2018
Last Update Date : 02/22/2024

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Directions to “ MRS. DENISE LEA TILLMANNSHOFER ” Practice Location

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