TINA LILLIEDOLL


Address: 600 A St, Davis, CA 95616-3649
Phone: 5306682400

TINA LILLIEDOLL (NPI# 1518177443) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1518177443
Entity Type Individual
Full Name TINA LILLIEDOLL
Practice Address 600 A St
Davis
CA 95616-3649
Mailing Address Po Box 1260
Davis
CA 95617-1260
Practice Telephone 5306682400
Mailing Telephone 5307533498
Enumeration Date 2007-05-22
Last Update Date 2020-10-27
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101Y00000X Counselor Behavioral Health & Social Service Providers
Y 101YM0800X Counselor
Specialization: Mental Health
97349 CA Behavioral Health & Social Service Providers
N 101YM0800X Counselor
Specialization: Mental Health
ASW78894 CA Behavioral Health & Social Service Providers

Office Location

Street Address 600 A ST
City DAVIS
State CA
Zip Code 95616-3649

Providers in the same location

NPI Name Taxonomy Address Enumeration
1053443135 Yolo County Health and Human Services Agency Community/Behavioral Health 600 A St, Davis, CA 95616-3649 2007-03-12
1457783748 Amy Anne Teeling Social Worker 600 A St, Davis, CA 95616-3649 2013-08-08
1710252432 Kristyn Fresz Marriage & Family Therapist 600 A St, Davis, CA 95616-3649 2012-03-13
1275831570 Communicare Health Centers Community/Behavioral Health 600 A St, Davis, CA 95616-3649 2011-03-10
1164668893 Marcia Lee Davis Counselor 600 A St, Davis, CA 95616-3649 2008-12-30
1043437080 Mario Gallegati Marriage & Family Therapist 600 A St, Davis, CA 95616-3649 2007-04-19
1700906856 Laura Elizabeth Christensen Marriage & Family Therapist 600 A St, Davis, CA 95616-3649 2007-03-30
1295869279 Sharon Reuter Registered Nurse 600 A St, Davis, CA 95616-3649 2007-03-14
1881727931 Linda L Cook Registered Nurse 600 A St, Davis, CA 95616-3649 2007-03-14
1619000510 Joan Blazey Turner Social Worker 600 A St, Davis, CA 95616-3649 2007-03-13
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1417560871 Anne-frances Ostrander Physical Therapy Assistant 397 La Rue Rd, Davis, CA 95616 2020-08-26
1487271458 Alix Peloso Mahon Behavior Technician 1212 Alvarado Ave Apt 68, Davis, CA 95616 2020-06-25
1427671882 Dhhs Ihs Cao Sacred Oaks Healing Center Substance Abuse Rehabilitation Facility 33100 County Road 31, Davis, CA 95616 2020-05-20
1871126961 Linda Marie Adams Dietitian, Registered Uc Davis Occupational Health, One Shields Ave - Cowell Hall Room 35, Davis, CA 95616 2020-02-17
1851935217 Timothy James Johnston Orthotist 635 Anderson Rd., Suite 18, Davis, CA 95616 2019-10-29
1386290716 Dakota Cool Specialist/Technologist 750 Orchard Road, Davis, CA 95616 2019-08-12
1366908618 Capitol Periodontal Group Dentist 750 F Street #5, Davis, CA 95616 2019-02-12
1831663434 Elisha Niccole Cusumano Specialist/Technologist 264 Hickey Gym, 1 Shields Ave, Davis, CA 95616 2019-01-16
1609364991 Aron Matthew Katz Psychologist One Shield Ave, Student Health & Wellness Center, Bhp, Davis, CA 95616 2018-04-23
1316463938 Arielle Pinkston Marriage & Family Therapist 203 F St, Davis, CA 95616 2017-08-15
Find all providers in zip 95616

Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1063986990 Shyla Teresa Zellman-steen Counselor 2727 Del Rio Pl Ste C, Davis, CA 95618-7729 2019-01-14
1679048300 Rosie Zachery Counselor 2505 5th St Apt 173, Davis, CA 95618-7701 2018-10-09
1528508777 Denise Ione Castro Counselor 1947 Galileo Ct Ste 101, Davis, CA 95618-4882 2017-03-06
1427439942 Jennifer E Randall Counselor 46 Lochoa Dr, Davis, WV 26260-8072 2015-06-10
1790187599 Sevil Gonen Counselor 129 C St Ste 3, Davis, CA 95616-4588 2014-09-23
1194147082 Amber Husten Counselor 1214 Menlo Dr, Davis, CA 95616-2168 2014-01-10
1245664804 Adriana Anaya Counselor 24321 Co Road 96, Davis, CA 95616 2013-08-30
1912339524 Chris Le Counselor 1128 J St, Davis, CA 95616-2130 2013-08-06
1548554223 Valorie Stout Counselor 121 E Main St Ste 101, Davis, OK 73030-1974 2011-05-31
1801191598 Donna Marie Stephens Counselor 3902 Hoopa Pl, Davis, CA 95618-5082 2011-01-11
Find all providers in DAVIS

Competitor

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City DAVIS
Zip Code 95616

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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