Search › Georgia › 101YP2500X
David Tillis, LPC, NCC, MAC
NPI 1114159696 · on the registry since 2009 · sole proprietor
Practice
- Address
- 9635 Ventana Way
Suite 101
Johns Creek, GA 30022 - Phone
- (770) 495-6339
- Fax
- (770) 495-6338
- Organisation at this address
- 4thought Counseling
Georgia Brain & Spine Center
Patrick Edward Gilliland, Llc
Trinity Psychological Services
Advanced Neurospine Surgery Center, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Also registered as
- 101YA0400X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2009-08-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia