SAM TILLMAN
NPI 1982377214
Counselor - Mental Health in Pittsburgh, PA
Active since August 02, 2021
About Sam Tillman NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAM TILLMAN (NPI 1982377214) is an individual mental health provider in Pittsburgh, Pennsylvania and active in the NPI registry since August 2021.
NPPES Registry Identity
NPI1982377214
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSAM TILLMAN
Location Address333 N BRADDOCK AVEPittsburgh, PA 15208-2512
Mailing Address333 N Braddock AvePittsburgh, PA 15208-2512 · (412) 864-5004
Phone(412) 864-5004
Sole ProprietorNo
Enumeration DateAugust 2, 2021
NPPES CertifiedAugust 2, 2021
✔ NPI 1982377214 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
333 N BRADDOCK AVE, Pittsburgh, PA 15208
Other Names 1
Other Name (5)Samantha Tillman
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1982377214, enumerated as an "individual" on August 02, 2021.
The provider is located at 333 N BRADDOCK AVE PITTSBURGH, PA 15208 and the phone number is (412) 864-5004.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.