Tilley, Matthew Daniel
Tilley, Matthew Daniel is an sole proprietor health care provider with primary practice located at 15063 Clayton Rd , Chesterfield MO 63017-7045. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Tilley, Matthew Daniel can be contacted via phone (636) 394-7015.Contact Information
Primary practice address
15063 Clayton Rd
Chesterfield MO 63017-7045
Phone: (636) 394-7015
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 2019040725 | Missouri |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 2019040725 | Missouri |
Profile Details
| NPI number | 1437769726 |
|---|---|
| LBN Legal business name | Tilley, Matthew Daniel |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 3rd, 2020 |
| Last updated | Mar 8th, 2023 - about 3 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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