Provider Demographics
NPI:1730486200
Name:TIELEMANS INC.
Entity Type:Organization
Organization Name:TIELEMANS INC.
Other - Org Name:AMY TIELEMANS INDIVIDUAL, MARRIAGE AND FAMILY THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER, LMFT
Authorized Official - Prefix:MRS
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:TIELEMANS
Authorized Official - Suffix:
Authorized Official - Credentials:MA, MBA, LMFT
Authorized Official - Phone:215-822-1975
Mailing Address - Street 1:208 WHISPER WAY
Mailing Address - Street 2:
Mailing Address - City:CHALFONT
Mailing Address - State:PA
Mailing Address - Zip Code:18914-3578
Mailing Address - Country:US
Mailing Address - Phone:215-822-1975
Mailing Address - Fax:
Practice Address - Street 1:208 WHISPER WAY
Practice Address - Street 2:
Practice Address - City:CHALFONT
Practice Address - State:PA
Practice Address - Zip Code:18914-3578
Practice Address - Country:US
Practice Address - Phone:215-822-1975
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-18
Last Update Date:2011-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMF000522106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty