Provider Demographics
NPI:1063309169
Name:LESSONZ LEARNED
Entity type:Organization
Organization Name:LESSONZ LEARNED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:TERRALL
Authorized Official - Middle Name:EUGENE
Authorized Official - Last Name:TILLMAN
Authorized Official - Suffix:
Authorized Official - Credentials:RADT I / ANGER MNGT
Authorized Official - Phone:323-537-5908
Mailing Address - Street 1:15007 LEMOLI AVE APT 7
Mailing Address - Street 2:
Mailing Address - City:GARDENA
Mailing Address - State:CA
Mailing Address - Zip Code:90249-3473
Mailing Address - Country:US
Mailing Address - Phone:323-537-5908
Mailing Address - Fax:
Practice Address - Street 1:15007 LEMOLI AVE APT 7
Practice Address - Street 2:
Practice Address - City:GARDENA
Practice Address - State:CA
Practice Address - Zip Code:90249-3473
Practice Address - Country:US
Practice Address - Phone:323-537-5908
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-20
Last Update Date:2025-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health