Healthcare Provider Details

I. General information

NPI: 1508783614
Provider Name (Legal Business Name): TINA NICOLE TILLMON QMHP-CS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/30/2026
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23807 SUNLAND PARK CT
SPRING TX
77373-0118
US

IV. Provider business mailing address

23807 SUNLAND PARK CT
SPRING TX
77373-0118
US

V. Phone/Fax

Practice location:
  • Phone: 713-252-5251
  • Fax:
Mailing address:
  • Phone: 713-252-5251
  • 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: