Provider Demographics
NPI:1972323152
Name:TIERED SOLUTIONS LLC
Entity type:Organization
Organization Name:TIERED SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER/SCHOOL PSYCHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:JONNA
Authorized Official - Middle Name:
Authorized Official - Last Name:WATSON
Authorized Official - Suffix:
Authorized Official - Credentials:EDS
Authorized Official - Phone:574-252-1922
Mailing Address - Street 1:748 DOGWOOD LN
Mailing Address - Street 2:
Mailing Address - City:WARSAW
Mailing Address - State:IN
Mailing Address - Zip Code:46582-1905
Mailing Address - Country:US
Mailing Address - Phone:574-252-1922
Mailing Address - Fax:
Practice Address - Street 1:3562 E US HIGHWAY 30
Practice Address - Street 2:
Practice Address - City:WARSAW
Practice Address - State:IN
Practice Address - Zip Code:46580-6720
Practice Address - Country:US
Practice Address - Phone:574-252-1922
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-14
Last Update Date:2024-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities
No251S00000XAgenciesCommunity/Behavioral Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health