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NPI Code Detail

MEDICARE: NAIA TILGHMAN LPC

MEDICARE: NAIA TILGHMAN LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor

General Provider Information

NPI Number : 1225447253
Entity Type Code : Individual
Provider Name (Legal Business Name) : NAIA TILGHMAN LPC
Provider Business Mailing Address
First Line : 11720 AMBER PARK DR STE 160
Second Line :
City : ALPHARETTA
State : GA
Zip : 30009-2271
Country : US
Telephone Number : 678-696-0463
Fax Number :
Provider Business Practice Location Address
First Line : 11720 AMBER PARK DR STE 160
Second Line :
City : ALPHARETTA
State : GA
Zip : 30009-2271
Country : US
Telephone Number : 678-696-0463
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/04/2014
Last Update Date : 01/19/2024

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Directions to “ NAIA TILGHMAN LPC” Practice Location

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