Provider Demographics
NPI:1134509888
Name:TINGLEY, ANNE (BA, ACT)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:
Last Name:TINGLEY
Suffix:
Gender:F
Credentials:BA, ACT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1520 HAINES AVE
Mailing Address - Street 2:SUITE 6
Mailing Address - City:RAPID CITY
Mailing Address - State:SD
Mailing Address - Zip Code:57701
Mailing Address - Country:US
Mailing Address - Phone:605-716-7841
Mailing Address - Fax:605-718-0404
Practice Address - Street 1:1520 HAINES AVE
Practice Address - Street 2:SUITE 6
Practice Address - City:RAPID CITY
Practice Address - State:SD
Practice Address - Zip Code:57701
Practice Address - Country:US
Practice Address - Phone:605-716-7841
Practice Address - Fax:605-718-0404
Is Sole Proprietor?:No
Enumeration Date:2015-06-08
Last Update Date:2015-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor