CYNTHIA PETERS TILLERY LPC CSC NPI 1992224182

NPI Information

  • NPI: 1992224182
  • Provider Name: CYNTHIA PETERS TILLERY, LPC, CSC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • Address: 3524 NE STALLINGS DR
    NACOGDOCHES, TX
    ZIP 75965
  • Phone: (936) 560-6855

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NPI Details

Cynthia Peters Tillery, LPC, CSC is a professional counselor in Nacogdoches, TX. Cynthia Peters Tillery, LPC, CSC NPI is 1992224182. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3524 NE STALLINGS DR
NACOGDOCHES, TX
ZIP 75965-728
Phone: (936) 560-6855
Fax: (936) 560-6855

The enumeration date for this NPI number is 9/19/2017 and was last updated on 9/19/2017.

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
1101YP2500XCounselorProfessional64398TEXASYes

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: 3/30/2025

NPI Synchronization or Removal

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