| Mr David Roger Tillis, LPC, NCC, MAC | |
|
9635 Ventana Way, Suite 101, Johns Creek, GA 30022-8620 | |
| (770) 495-6339 | |
| (770) 495-6338 |
| Full Name | Mr David Roger Tillis |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 9635 Ventana Way, Johns Creek, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114159696 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | MAC030853 (Georgia) | Secondary |
| 101YP2500X | Counselor - Professional | LPC001626 (Georgia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr David Roger Tillis, LPC, NCC, MAC 9635 Ventana Way, Suite 101, Johns Creek, GA 30022-8620 Ph: (770) 495-6339 | Mr David Roger Tillis, LPC, NCC, MAC 9635 Ventana Way, Suite 101, Johns Creek, GA 30022-8620 Ph: (770) 495-6339 |
Alyssa Kiss, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2750 Old Alabama Rd Ste 200, Johns Creek, GA 30022 Phone: 678-893-5300 | |
Jessica Crolley Slovensky, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6470 E Johns Xing Ste 160, Johns Creek, GA 30097 Phone: 404-625-3031 | |
Sarah Kathleen Batzel, LPC Counselor Medicare: Medicare Enrolled Practice Location: 10090 Medlock Bridge Rd, Johns Creek, GA 30097 Phone: 470-482-6508 | |
Jenny Casteel, Counselor Medicare: Not Enrolled in Medicare Practice Location: 10050 Medlock Bridge Rd, Johns Creek, GA 30097 Phone: 678-983-8993 | |
Samantha Deane Hartman, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 10700 State Bridge Rd Ste 6, Johns Creek, GA 30022 Phone: 770-802-8019 | |
Cara Lindell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2750 Old Alabama Rd # 200, Johns Creek, GA 30022 Phone: 678-893-5300 |