1386526069 NPI number — TENDER SMILE HEALTHCARE SERVICE LLC

Table of content: NOELLE POMEROY PHD, LMHC (NPI 1851715080)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1386526069 NPI number — TENDER SMILE HEALTHCARE SERVICE LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
TENDER SMILE HEALTHCARE SERVICE LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1386526069
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/23/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1102 HARTLAND ROAD APT 1
Provider Second Line Business Mailing Address:
1102 HARTLAND ROAD APT 1
Provider Business Mailing Address City Name:
ESSEX
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
21221
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
443-559-2447
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1102 HARTLAND ROAD APT 1
Provider Second Line Business Practice Location Address:
1102 HARTLAND ROAD APT 1
Provider Business Practice Location Address City Name:
ESSEX
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21221
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
443-559-2447
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/23/2025

Additional Information

Authorized Official

Authorized Official Last Name:
BASSEY
Authorized Official First Name:
MARY
Authorized Official Middle Name:
EDEM
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
443-559-2447

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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