CALLY LYNN TILLY LPC NPI 1104441088

NPI Information

NPI: 1104441088
Provider Name: CALLY LYNN TILLY, LPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
1616 PARK PLACE AVE
FORT WORTH, TX
ZIP 76110
Phone: (817) 921-2401
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Cally Lynn Tilly, LPC is a professional counselor in Fort Worth, TX. Cally Lynn Tilly, LPC NPI is 1104441088. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1616 PARK PLACE AVE
FORT WORTH, TX
ZIP 76110-377
Phone: (817) 921-2401
Fax: (817) 921-2401

The enumeration date for this NPI number is 6/16/2020 and was last updated on 6/16/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	79894	TEXAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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