Individual
MRS. LELIA ANNE TANKERSLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.-C.
Contact information
Practice address
22 LINWOOD AVE, BEL AIR, MD 21014-3951
(410) 877-3245
(410) 877-3245
Mailing address
2808 FALLSMONT DR, FALLSTON, MD 21047-2247
(410) 879-6432
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
04667
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1069012 00
—
MD
01
—
42175504
BCBS SOCIAL WK PROVIDER
MD
01
—
4474386
AETNA SOCIAL WORK PROVIDE
MD
01
—
R4500001
BCBS FED SOCIAL WK PROVID
MH
Enumeration date
03/01/2007
Last updated
07/09/2007
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