Individual
CARL MICHAEL TIERNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RMHCI
Contact information
Practice address
2479 ALOMA AVE, WINTER PARK, FL 32792-2541
(407) 657-6692
(407) 894-6010
Mailing address
3208 CRYSTAL PARK CT, LEAGUE CITY, TX 77573-2248
(407) 587-6499
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
IMH18616
FL
101YM0800X
Mental Health Counselor
Primary
MH25112
FL
101YP2500X
Professional Counselor
94563
TX
Other
Enumeration date
07/15/2019
Last updated
04/21/2026
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