Provider Demographics
NPI:1669178554
Name:PERRY, TAMIYAH DANIELLE (LMHP-S)
Entity type:Individual
Prefix:
First Name:TAMIYAH
Middle Name:DANIELLE
Last Name:PERRY
Suffix:
Gender:F
Credentials:LMHP-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4007 PRETTY LN
Mailing Address - Street 2:
Mailing Address - City:NORTH CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23234-6234
Mailing Address - Country:US
Mailing Address - Phone:804-248-6950
Mailing Address - Fax:
Practice Address - Street 1:4007 PRETTY LN
Practice Address - Street 2:
Practice Address - City:NORTH CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23234-6234
Practice Address - Country:US
Practice Address - Phone:804-248-6950
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-02
Last Update Date:2023-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health