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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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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