Tawanda Tenika Tillery, - Counselor in Pinetops, NC

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Tawanda Tenika Tillery, is a Counselor - Mental Health based in Pinetops, North Carolina. Tawanda Tenika Tillery is licensed to practice in North Carolina (license number ) and her current practice location is 910 Jenkins Farm Rd, Pinetops, North Carolina. She can be reached at her office (for appointments etc.) via phone at (252) 640-9194.

NPI number for Tawanda Tenika Tillery is 1619794856 and her current mailing address is 910 Jenkins Farm Rd, Pinetops, North Carolina. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1619794856.

Contact Information

Tawanda Tenika Tillery,
910 Jenkins Farm Rd,
Pinetops, NC 27864-7022
(252) 640-9194
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameTawanda Tenika Tillery
GenderFemale
SpecialityCounselor - Mental Health
Location910 Jenkins Farm Rd, Pinetops, North Carolina
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1619794856
  • Provider Enumeration Date: 09/19/2024
  • Last Update Date: 09/20/2024

Medical Identifiers

Medical identifiers for Tawanda Tenika Tillery such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619794856NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health (North Carolina)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tawanda Tenika Tillery is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Tawanda Tenika Tillery,
910 Jenkins Farm Rd,
Pinetops, NC 27864-7022

Ph: (252) 640-9194		Tawanda Tenika Tillery,
910 Jenkins Farm Rd,
Pinetops, NC 27864-7022

Ph: (252) 640-9194

Reviews and Comments


Counselor in Pinetops, NC


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