Tiffany Ann Bosley Dillmore, LMFTA

Individual provider Active NPI Marriage & Family Therapist · Baltimore, MD

NPI 1114898046 · NPPES record last updated Sep 15, 2025

Key facts

NPI
1114898046
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
20705A (NC)
Practice address
3142 Elliott St
Baltimore, MD 21224-4910
Phone
(919) 302-7788
NPI assigned
Sep 15, 2025
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
20705ANCMDMarriage & Family Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 20705A NC Yes

Addresses

Primary practice location

3142 Elliott St
Baltimore, MD 21224-4910

Mailing address

3142 Elliott St
Baltimore, MD 21224-4910
Phone (919) 302-7788

Other providers in Baltimore, MD

All providers in Baltimore, MD · Marriage & Family Therapist in Maryland

Sources for this page

Verify at the official NPI Registry.