Search › North Carolina › 225700000X
Denise Tiller, LMBT
NPI 1477215127 · on the registry since 2021 · sole proprietor
Practice
- Address
- 4310 Park Rd Apt 102
Charlotte, NC 28209 - Phone
- (704) 412-5395
- Organisation at this address
- Blowout Lounge Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 225700000X
225700000X
- Also registered as
- 225700000X
- Licence states on file
- SC, NC
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-11-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina