Felisha A Tillman, LPC | |
2380 Henry St, Dyersburg, TN 38024-1847 | |
(731) 882-4728 | |
(731) 287-1795 |
Full Name | Felisha A Tillman |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 2380 Henry St, Dyersburg, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194533877 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 7703 (Tennessee) | Primary |
Entity Name | Professional Care Services Of West Tn, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457351215 PECOS PAC ID: 0042115537 Enrollment ID: O20031208000128 |
Mailing Address | Practice Location Address |
---|---|
Felisha A Tillman, LPC 615 Vaughn Ave Apt D, Dyersburg, TN 38024-3089 Ph: (731) 882-9175 | Felisha A Tillman, LPC 2380 Henry St, Dyersburg, TN 38024-1847 Ph: (731) 882-4728 |
Pamela Kelley, MSW, COUNSELOR Counselor Medicare: Not Enrolled in Medicare Practice Location: 1385 Flowering Dogwood Ln Ste D, Dyersburg, TN 38024 Phone: 731-882-1974 | |
Tony Johnson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 640 Us Highway 51 Byp E, Suite M, Dyersburg, TN 38024 Phone: 731-285-6535 Fax: 731-285-6532 | |
Katherine Yarbro, Counselor Medicare: Not Enrolled in Medicare Practice Location: 640 Us Highway 51 Byp E, Suite M, Dyersburg, TN 38024 Phone: 731-285-6535 Fax: 731-285-6532 | |
Kristy Anne Mclaughlin, LPC/MHSP Counselor Medicare: Not Enrolled in Medicare Practice Location: 1150 Hwy 51 By-pass, Ste A, Dyersburg, TN 38024 Phone: 731-589-5388 Fax: 731-214-1816 | |
Chasidy Branch, Counselor Medicare: Not Enrolled in Medicare Practice Location: 640 U.s. Highway 51 Bypass E. Suite M, Dyersburg, TN 38024 Phone: 731-285-6535 Fax: 731-285-6532 | |
Mr. Percy E Beasley, BEHAVIOR ANALYST Counselor Medicare: Not Enrolled in Medicare Practice Location: 1401 Meeks St Apt A1, Dyersburg, TN 38024 Phone: 731-325-9303 |