Tisome Archer-Stewart

Individual provider Active NPI Mental Health Counselor · Nottingham, MD

NPI 1124901988 · NPPES record last updated Jul 29, 2025

Key facts

NPI
1124901988
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
7939 Honeygo Blvd
Nottingham, MD 21236-4931
Phone
(443) 314-8680
NPI assigned
Jul 29, 2025
Sex
Female
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Yes

Addresses

Primary practice location

7939 Honeygo Blvd
Nottingham, MD 21236-4931

Mailing address

7939 Honeygo Blvd
Nottingham, MD 21236-4931
Phone (443) 314-8680

Other providers in Nottingham, MD

All providers in Nottingham, MD · Mental Health Counselor in Maryland

Sources for this page

Verify at the official NPI Registry.