STEPHANIE TILLMAN (NPI# 1710470752) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710470752 |
| Entity Type | Individual |
| Full Name | STEPHANIE TILLMAN |
| Practice Address |
831 Baxter St Ste 205 Charlotte NC 28202-2719 |
| Mailing Address |
3728 Burntwood Ct Charlotte NC 28227-8658 |
| Practice Telephone | 9802884684 |
| Mailing Telephone | 7046061058 |
| Enumeration Date | 2018-06-13 |
| Last Update Date | 2018-06-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760738769 | Stephanie Nicole Tillman | Advanced Practice Midwife | 4630 S Bishop St, Chicago, IL 60609-3240 | 2012-07-27 |
| 1417074014 | Stephanie Ann Tillman | Social Worker | 820 Chamberlain Loop, Lake Wales, FL 33853-2800 | 2007-03-26 |
| 1427293596 | Stephanie R Tillman | Occupational Therapist | 3057 Lorna Rd, Suite Number 220, Birmingham, AL 35216-4514 | 2008-12-03 |
| Street Address |
831 BAXTER ST STE 205 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28202-2719 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699012815 | Sheila Gable | Social Worker | 831 Baxter St Ste 205, Charlotte, NC 28202-2719 | 2013-01-08 |
| 1548887656 | Gabrielle E Lee | Social Worker | 831 Baxter St Ste 205, Charlotte, NC 28202-2719 | 2020-07-06 |
| 1013547207 | Lonnie Edward Lockhart | Social Worker | 831 Baxter St Ste 205, Charlotte, NC 28202-2719 | 2020-01-16 |
| 1255976957 | Nancy Rochelle Tillman | Social Worker | 831 Baxter St Ste 205, Charlotte, NC 28202-2719 | 2019-11-17 |
| 1598319022 | Rehaana Herbert | Social Worker | 831 Baxter St Ste 205, Charlotte, NC 28202-2719 | 2019-08-01 |
| 1578129409 | Jimita Rae Baugh | Counselor | 831 Baxter St Ste 205, Charlotte, NC 28202-2719 | 2019-05-16 |
| 1952965287 | Desiree M Dixon | Social Worker | 831 Baxter St Ste 205, Charlotte, NC 28202-2719 | 2019-04-22 |
| 1285100461 | Seana M Smith | Social Worker | 831 Baxter St Ste 205, Charlotte, NC 28202-2719 | 2018-10-16 |
| 1932611167 | Sade Natasha Massiah | Counselor | 831 Baxter St Ste 205, Charlotte, NC 28202-2719 | 2017-10-27 |
| 1124422696 | Molly Mcdonnell | Social Worker | 831 Baxter St Ste 205, Charlotte, NC 28202-2719 | 2014-10-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609418425 | Monarch | Community/Behavioral Health | 215 North Pine Street Unit 705, Charlotte, NC 28202 | 2019-10-14 |
| 1396211892 | Brooke Graham | Behavior Technician | 107 New Edition Court Carey, Raleigh, NC 28202 | 2018-10-23 |
| 1740704352 | Targetcare, Inc. | Health Educator | 831 E. Morehead Street, Suite 900, Charlotte, NC 28202 | 2017-07-26 |
| 1659828291 | Reserve Health, PC | Family Medicine | 135 W 10th St, Charlotte, NC 28202 | 2016-09-01 |
| 1275905887 | Tameka Wade Brewington | Counselor | 615 E 6th St Ste 112, Charlotte, NC 28202 | 2015-10-22 |
| 1962815159 | Teisha Miller | Social Worker | 700 N. Tryon Street, Charlotte, NC 28202 | 2014-06-05 |
| 1699193672 | Elizabeth Ann Peterson-vita | Psychologist | 700 East Stonewall Street, Suite 714, Charlotte, NC 28202 | 2014-04-07 |
| 1942631437 | Avery Sales | Durable Medical Equipment & Medical Supplies | 103 W Morehead St, Charlotte, NC 28202 | 2013-12-09 |
| 1801236484 | Annette Goodman | Counselor | 415 E. Trade Street, Charlotte, NC 28202 | 2013-06-27 |
| 1174960181 | Jennifer D'silva | Dentist | 210 E Trade St # 484, Charlotte, NC 28202 | 2013-05-30 |
| Find all providers in zip 28202 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346841491 | Emily Brokaw | Marriage & Family Therapist | 10420 Park Rd # 100-b, Charlotte, NC 28210-8501 | 2020-11-05 |
| 1215550074 | Tiffany Guy | Marriage & Family Therapist | 4219 Springhaven Dr, Charlotte, NC 28269-1629 | 2020-05-27 |
| 1013557867 | Sandra May Kamara | Marriage & Family Therapist | 6601 Barrington Dr, Charlotte, NC 28215-3401 | 2020-01-09 |
| 1053958868 | Karen M Quigley | Marriage & Family Therapist | 6000 Fairview Rd Fl 12, Charlotte, NC 28210-2224 | 2019-11-30 |
| 1386288421 | Tiffany De Leon | Marriage & Family Therapist | 13735 Steele Creek Rd, Charlotte, NC 28273-6841 | 2019-11-01 |
| 1841833761 | Sweeneypsych, Pllc | Marriage & Family Therapist | 811 Central Ave Ste 8, Charlotte, NC 28204-2015 | 2019-10-23 |
| 1144871476 | Linda Joann Mullinix | Marriage & Family Therapist | 3835 W W T Harris Blvd, Charlotte, NC 28269-3500 | 2019-09-27 |
| 1497316012 | Shantel Lynette Smythe | Marriage & Family Therapist | 5700 Executive Center Dr Ste 200, Charlotte, NC 28212-8833 | 2019-06-25 |
| 1073174975 | Monica Pena | Marriage & Family Therapist | 3837 Beauvista Dr, Charlotte, NC 28269-1090 | 2019-06-22 |
| 1669944427 | Monique Moreno Aquino | Marriage & Family Therapist | 1118 Skyview Rd, Charlotte, NC 28208-6249 | 2018-12-18 |
| Find all providers in CHARLOTTE | ||||
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| 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.