DEVONNA TILLMAN LAC NPI 1710369582

NPI Information

NPI: 1710369582
Provider Name: DEVONNA TILLMAN, LAC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
1420 S MAIN ST
HOPE, AR
ZIP 71801
Phone: (870) 777-4848
Get Directions

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
1	101YM0800X	Counselor	Mental Health	A2009117	ARKANSAS	Yes
2	171M00000X	Case Manager/Care Coordinator				No

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
1	227972795	MEDICAID	ARKANSAS

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: 4/28/2024

NPI Synchronization or Removal

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