David Roger Tillis, LPC, NCC, MAC
Professional Counselor · Johns Creek, GA
Practice location
9635 Ventana WaySuite 101
Johns Creek, GA 30022-8620
- Phone
- (770) 495-6339
- Fax
- (770) 495-6338
NPI record
- NPI
- 1114159696
- Entity type
- Individual (Type 1)
- Enumeration date
- August 17, 2009
- Last updated
- August 17, 2009
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Professional Counselor Primary | 101YP2500X |
LPC001626 | GA |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X |
MAC030853 | GA |
About David Tillis
David Roger Tillis, LPC, NCC, MAC is a healthcare provider registered in the NPI registry with the primary taxonomy Professional Counselor (code 101YP2500X). The practice location is 9635 Ventana Way, Suite 101, Johns Creek, GA 30022-8620. The NPI number 1114159696 was assigned on August 17, 2009 and the record was last updated on August 17, 2009.
David Tillis lists 2 licenses in the registry: #LPC001626 (GA) for Professional Counselor; #MAC030853 (GA) for Addiction (Substance Use Disorder) Counselor. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of David Roger Tillis, LPC, NCC, MAC?
The NPI number is 1114159696.
What is the phone number of David Tillis?
The phone number listed for the practice location is (770) 495-6339.
Where is David Tillis located?
9635 Ventana Way, Suite 101, Johns Creek, GA 30022-8620.
What is the taxonomy code for David Tillis?
The primary taxonomy code is 101YP2500X – Professional Counselor; 1 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other Professional Counselor providers in Johns Creek
- Jessica Crolley Slovensky, LPC6470 E Johns Xing Ste 160
- Sarah Kathleen Batzel, LPC10090 Medlock Bridge Rd Ste 110
- Jenny Casteel10050 Medlock Bridge Rd
- Meredith Weitnauer10050 Medlock Bridge Rd
- Mariah Dantzler2750 Old Alabama Rd
- Mitra Yavari, APC9800 Medlock Bridge Rd Ste 2
- Aleisha Parker2750 Old Alabama Rd Ste 200
- Dorothy Firth Smith, MA, LPC10700 Medlock Bridge Rd Ste 101
- Tamara Chanelle McNeil, LPC6470 E Johns Xing Ste 160
- Haley Aguero, MA, NCC, APC2750 Old Alabama Rd Ste 200
- 4thought Counseling9635 Ventana Way
- Samantha Muntz, APC2750 Old Alabama Rd Ste 200