Tieleah Vaughn, is a
Counselor - Addiction (substance Use Disorder) based in Universal City, California. Tieleah Vaughn is licensed to practice in * (Not Available) (license number ) and her current practice location is
100 Universal City Plz, Universal City, California. She can be reached at her office (for appointments etc.) via phone at
(336) 918-5671.
NPI number for Tieleah Vaughn is 1194569525 and her current mailing address is 370 Rickard Dr, Winston Salem, North Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1194569525.
Healthcare Provider's Profile
Full Name | Tieleah Vaughn |
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Gender | Female |
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Speciality | Counselor - Addiction (substance Use Disorder) |
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Location | 100 Universal City Plz, Universal City, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1194569525
- Provider Enumeration Date: 06/20/2024
- Last Update Date: 06/20/2024
Medical Identifiers
Medical identifiers for Tieleah Vaughn such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1194569525 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | 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. Tieleah Vaughn 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 Address | Practice Location Address |
Tieleah Vaughn, 370 Rickard Dr, Winston Salem, NC 27101-2330 Ph: (336) 918-5671 | Tieleah Vaughn, 100 Universal City Plz, Universal City, CA 91608-1002 Ph: (336) 918-5671 |
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