Provider Demographics
NPI:1528114808
Name:CAHILL, TITANYA RE (LMHC)
Entity type:Individual
Prefix:MRS
First Name:TITANYA
Middle Name:RE
Last Name:CAHILL
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:MRS
Other - First Name:TANYA
Other - Middle Name:RE
Other - Last Name:CAHILL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMHC
Mailing Address - Street 1:PO BOX 152
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01757-0152
Mailing Address - Country:US
Mailing Address - Phone:508-473-0900
Mailing Address - Fax:
Practice Address - Street 1:14 PROSPECT ST
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:MA
Practice Address - Zip Code:01757-3003
Practice Address - Country:US
Practice Address - Phone:508-473-0900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-26
Last Update Date:2010-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA6054101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health