Provider Demographics
NPI:1710632831
Name:VIOLANDI, TENNILLE GABRIEL (LMHC)
Entity Type:Individual
Prefix:MS
First Name:TENNILLE
Middle Name:GABRIEL
Last Name:VIOLANDI
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4018 NW 70TH AVE
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33065-2242
Mailing Address - Country:US
Mailing Address - Phone:954-592-3851
Mailing Address - Fax:
Practice Address - Street 1:4018 NW 70TH AVE
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33065-2242
Practice Address - Country:US
Practice Address - Phone:954-592-3851
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-17
Last Update Date:2022-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH20364101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty