Gentry, Tisha Lea

Gentry, Tisha Lea is an individual health care provider with primary practice located at 303 International Cir Suite T-125, Hunt Valley MD 21030-1464. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Gentry, Tisha Lea can be contacted via phone (443) 797-0144.

Contact Information

Primary practice address
303 International Cir Suite T-125 Hunt Valley MD 21030-1464
Phone: (443) 797-0144
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X LC1953 Maryland
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LCPC 1953 Maryland

Profile Details

NPI number 1033251368
LBN Legal business name Gentry, Tisha Lea
Credentials MA LCPC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2007
Last updated Mar 26th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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