TONY LEVON JERRY LCDC
NPI 1144004912
Counselor - Addiction (Substance Use Disorder) in Riviera Beach, FL

Active since August 23, 2023
2368 CENTER STONE LN, RIVIERA BEACH, FL 33404(713) 859-7814 Get Directions Write a Review

NPPES record last updated: August 24, 2023. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Tony Levon Jerry Lcdc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TONY LEVON JERRY LCDC (NPI 1144004912) is an individual addiction (substance use disorder) provider in Riviera Beach, Florida, licensed in Texas (14828) and active in the NPI registry since August 2023.

NPPES Registry Identity

NPI1144004912
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameTONY LEVON JERRYCredential: LCDC
Location Address2368 CENTER STONE LNRiviera Beach, FL 33404-1828
Mailing Address2368 Center Stone LnRiviera Beach, FL 33404-1828 · (713) 859-7814
Sole ProprietorYes
Enumeration DateAugust 23, 2023
Last NPPES UpdateAugust 24, 2023
NPPES CertifiedAugust 24, 2023
NPI 1144004912 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in TX · 14828
2368 CENTER STONE LN, Riviera Beach, FL 33404

Other Names 1

Professional Name (2)None None None Lcdc

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tony Jerry's NPI number?

The NPI number for Tony Jerry is 1144004912. It was assigned to this individual provider in the NPPES registry on August 23, 2023. The provider is also known as None None None Lcdc.

Where is Tony Jerry located?

Tony Jerry practices at 2368 Center Stone Ln, Riviera Beach, FL 33404. The listed phone number is (713) 859-7814.

What is Tony Jerry's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Tony Jerry was last updated on August 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.