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Organization

SARAH TILLEY LMHC LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SARAH TILLEY LMHC (OWNER/THERAPIST)
(515) 373-8391
Entity
Organization

Contact information

Practice address
400 THOMAS DRIVE, UNIT 7108, PANAMA CITY BEACH, FL 32408
(515) 373-8391
Mailing address
3803 WHITEHEAD BLVD, PANAMA CITY, FL 32404-4102
(757) 753-1939

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
16517
FL

Other

Enumeration date
07/20/2018
Last updated
07/20/2018
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