OrganizationActive
Tier1 Performance Coach
NPI 1982295358 · Exercise & Sports Psychologist · Middletown, DE
Provider details
- NPI number
- 1982295358
- Entity type
- Organization
- Primary specialty
- Exercise & Sports PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Justin Tillinghast, Mental Performance Coach(302) 357-0029
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
347 Jessica Dr
Middletown, DE 19709-4013
Phone: (302) 357-0029
Approximate (ZIP-level) locationGet directions
Mailing address
347 Jessica Dr
Middletown, DE 19709-4013
Registry dates
- Enumerated
- 2021-01-28
- Last updated
- 2021-01-28
- Certified
- 2021-01-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.