DEVONNA TILLMAN LAC NPI 1710369582

NPI Information

  • NPI: 1710369582
  • Provider Name: DEVONNA TILLMAN, LAC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 1420 S MAIN ST
    HOPE, AR
    ZIP 71801
  • Phone: (870) 777-4848

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NPI Details

Devonna Tillman, LAC is a mental health counselor in Hope, AR. Devonna Tillman, LAC NPI is 1710369582. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1420 S MAIN ST
HOPE, AR
ZIP 71801-000
Phone: (870) 777-4848
Fax: (870) 777-2410

The enumeration date for this NPI number is 6/29/2015 and was last updated on 6/18/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthA2009117ARKANSASYes
2171M00000XCase Manager/Care CoordinatorNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1227972795MEDICAIDARKANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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