Healthcare Provider Details

I. General information

NPI: 1063332393
Provider Name (Legal Business Name): CYNTHIA DIANE TILGHMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/17/2026
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 W MAIN ST STE H
UNION CITY TN
38261-2132
US

IV. Provider business mailing address

196 PREACHER DOWLAND RD
KENTON TN
38233-3071
US

V. Phone/Fax

Practice location:
  • Phone: 731-599-9965
  • Fax:
Mailing address:
  • Phone: 731-445-6954
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: