Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. DAVID ROGER TILLIS, LPC, NCC, MAC
Active Sole ProprietorMR. DAVID ROGER TILLIS, LPC, NCC, MAC is a Professional Counselor healthcare provider located in JOHNS CREEK, Georgia. NPI 1114159696 is currently active in the NPPES registry. Verify at CMS.
Professional Counselor · JOHNS CREEK, GA
Registration Details
- NPI Number
- 1114159696
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 17, 2009 (16.80589127921 yrs)
- Last Updated
- Aug 17, 2009
- Licenses
-
MAC030853 (GA)LPC001626 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
9635 VENTANA WAYSUITE 101JOHNS CREEK, GA, 300228620Browse GA providers · Browse ZIP 30022
- Phone
- 7704956339
- Fax
- 7704956338
- Primary Specialty
-
Professional Counselor
101YP2500X
- Additional Specialty
- Professional Counselor
Other Professional Counselor Providers in JOHNS CREEK, GA
| Name | Credential | NPI |
|---|---|---|
| DR. ALICE DRUSILLA HOAG | EDD, LPC, CPCS | 1477724540 |
| MRS. DANIELLE CHAMBERS RIETTA | — | 1497982599 |
| MRS. KEMBERLY SHIOBHAN SHERIDAN | LPC | 1720367592 |
| JESSICA CROLLEY SLOVENSKY | LPC | 1023390309 |
| CONSTANCE CROMARTIE | LPC | 1982972246 |
| MITRA YAVARI | APC | 1316363450 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.