Active NPIIndividual provider

Mrs. Laurie Tillerson, BA

Counselor, Mental Health in Bergenfield, New Jersey

NPI Number1821453739
Practice location
386 W Main St, Bergenfield, NJ 07621-1569
Fax
—
Last updated
December 18, 2015

Laurie Tillerson is a Counselor, Mental Health based in Bergenfield, NJ. Laurie Tillerson practices in Bergenfield, NJ and has the professional credentials of BA. The NPI Number for Laurie Tillerson is 1821453739. The current practice location address for Laurie Tillerson is 386 W Main St, Bergenfield, NJ 07621-1569 and can be reached out via phone at 201-385-8223.

Provider Profile Details

NPI Number
1821453739
Provider Name
Laurie Tillerson
Credential
BA
Provider Entity Type
Individual
Gender
Female
Address
386 W Main St, Bergenfield, NJ 07621-1569
Phone Number
201-385-8223
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
No
Provider Enumeration Date
December 18, 2015
Last Update Date
December 18, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
386 W Main St
Bergenfield, NJ 07621-1569
Zip
07621-1569
Phone Number
201-385-8223
Bergenfield, NJ 07621Get directions →

Provider Business Mailing Address Details

Address
386 W Main St
Bergenfield, NJ 07621-1569
City
Bergenfield
State
NJ
Zip
07621-1569
Phone Number
201-385-8223

License Information

Taxonomy
Counselor, Mental Health · 101YM0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Laurie Tillerson, BA?

The NPI number of Mrs. Laurie Tillerson, BA is 1821453739. It was assigned on December 18, 2015 and is currently active in the NPPES registry.

What is the specialty of Mrs. Laurie Tillerson, BA?

Mrs. Laurie Tillerson, BA is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X).

Where does Mrs. Laurie Tillerson, BA practice?

The practice location is 386 W Main St, Bergenfield, NJ 07621-1569. The office can be reached at 201-385-8223 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1821453739 directly on the NPPES registry website.

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