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Individual

MR. TIM A PERRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPC MHSP MA

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
LPC1447
TN
101YP2500X
Professional Counselor
Primary
1447
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
010149371
VIRGINIA MEDICAID JOHNSON
01
010149380
VIRGINIA MEDICAID BRCC
01
217324
ANTHEM PROF TRIGON
01
269963
COMPSYCH
01
334969
VALUEOPTIONS GROUP
01
351654200
DOL WORKERS COMP
01
4013483
MAGELLAN NAVIGATOR
01
620582605
THREE RIVERS PROVI GROUP
Enumeration date
10/12/2006
Last updated
10/11/2019
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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