Candece Tierney Ma

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

CANDECE TIERNEY MA

Practice address

501 Centre St Ste 114
Fernandina Beach, FL 32034-3936

Phone

(904) 491-8003

Fax

(904) 491-8007

NPI assigned

Mar 20, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Candece G Tierney, LMFT, LMHCNPI 1861543779

Title

Owner

Phone

(904) 491-8003

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Candece G Tierney, MA

  • Counselor
  • Yulee, FL
  • NPI 1861543779
  NPD Authorized official
• Dabney L Byrd, LMHC

  • Mental Health Counselor
  • Fernandina Beach, FL
  • NPI 1497896856
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1553040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553040000000",
    "number": "1598225310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 CENTRE ST STE 114",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320343936",
            "telephone_number": "904-491-8003",
            "fax_number": "904-491-8007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 CENTRE ST STE 114",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320343936",
            "telephone_number": "904-491-8003",
            "fax_number": "904-491-8007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANDECE TIERNEY MA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-20",
        "last_updated": "2019-03-20",
        "status": "A",
        "authorized_official_last_name": "TIERNEY",
        "authorized_official_first_name": "CANDECE",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-491-8003",
        "authorized_official_credential": "LMFT, LMHC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martha Burnette, PHARMD
• Dabney L Byrd, LMHC
• Bznga LLC (Home Helpers of Amelia)
• Camen Academy LLC
• Wileta Nicole Campbell
• Care a Van Consolidated Transportation
• Care Centers of Nassau, LLC
• Care First Ambulette Service LLC
• Giorgia Carletti, DC
• Cariann Carlson, RN, IBCLC

• Community/Behavioral Health Agency in Fernandina Beach, FL
• Providers in Fernandina Beach, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.