LILIANA TATUM


Address: 1428 Hamlin Street Ne, Washington, DC 20017
Phone: 2029971922

LILIANA TATUM (NPI# 1639600984) 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) 1639600984
Entity Type Individual
Full Name LILIANA TATUM
Credential LPC
Practice Address 1428 Hamlin Street Ne
Washington
DC 20017
Mailing Address 1428 Hamlin St Ne
Washington
DC 20017-2943
Practice Telephone 2029971922
Mailing Telephone 2029971922
Enumeration Date 2017-03-27
Last Update Date 2017-03-27
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
PRC546 DC Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
DC 562368231 05

Office Location

Street Address 1428 HAMLIN STREET NE
City WASHINGTON
State DC
Zip Code 20017

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1386174175 Genevieve Wells Home Health Aide 601 Edgewood St. Ne, Apt 706, Washington, DC 20017 2017-06-14
1487183810 Valerie Anne Pierre Student in an Organized Health Care Education/Training Program 1150 Varnum Street, N.e., Acc 209, Washington, DC 20017 2017-06-08
1750835435 Marie Hortense Mabou Sando Home Health Aide 1416 9th Street Nwdc, Washington, DC 20017 2016-08-10
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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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1750995593 Almeta Mccannon Counselor 3005 25th St Ne, Washington, DC 20018-2511 2020-08-31
1912510835 Novia Patrice Davis Counselor 511 Nicholson St Nw, Washington, DC 20011-2017 2020-08-29
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Competitor

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City WASHINGTON
Zip Code 20017

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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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