Tilley, George Edward

Tilley, George Edward is an sole proprietor health care provider with primary practice located at 3117 Whiting Ave , Charlotte NC 28205-1648. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Tilley, George Edward can be contacted via phone (910) 508-7400.

Contact Information

Primary practice address
3117 Whiting Ave Charlotte NC 28205-1648
Phone: (910) 508-7400
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X C003070 North Carolina

Profile Details

NPI number 1356320790
LBN Legal business name Tilley, George Edward
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 13th, 2006
Last updated Feb 3rd, 2026 - about 8 months 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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Identifiers

StateTypeNumberIssuer
All States NPI 1356320790 NPPES
North Carolina Other 13006 BLUE CROSS AND BLUE SHIEL
North Carolina Other 132A0 BLUE CROSS AND BLUE SHIEL
North Carolina MEDICAID 6003469 BLUE CROSS AND BLUE SHIEL
North Carolina MEDICAID 6002292 BLUE CROSS AND BLUE SHIEL

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