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MR. DAVID ROGER TILLIS LPC, NCC, MAC
NPI 1114159696
Counselor - Professional in Johns Creek, GA

Active since August 17, 2009
9635 VENTANA WAY, SUITE 101, JOHNS CREEK, GA 30022(770) 495-6339(770) 495-6338 Get Directions Write a Review

NPPES record last updated: August 17, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. David Roger Tillis Lpc, Ncc, Mac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. DAVID ROGER TILLIS LPC, NCC, MAC (NPI 1114159696) is an individual professional provider in Johns Creek, Georgia, licensed in Georgia (LPC001626) and active in the NPI registry since August 2009.

NPPES Registry Identity

NPI1114159696
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. DAVID ROGER TILLISCredential: LPC, NCC, MAC
Location Address9635 VENTANA WAY, SUITE 101Johns Creek, GA 30022-8620
Mailing Address9635 Ventana Way, Suite 101Johns Creek, GA 30022-8620 · (770) 495-6339 · Fax (770) 495-6338
Phone(770) 495-6339
Fax(770) 495-6338
Sole ProprietorYes
Enumeration DateAugust 17, 2009
✔ NPI 1114159696 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in GA · LPC001626
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License MAC030853 (GA)
9635 VENTANA WAY, Johns Creek, GA 30022
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Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. PATRICK EDWARD GILLILAND LMFT
Marriage & Family Therapist
9635 VENTANA WAY, SUITE 101
JOHNS CREEK, GA 30022
Fulton County (678) 366-8862
4THOUGHT COUNSELING
Counselor (Professional)
9635 VENTANA WAY, STE 101
JOHNS CREEK, GA 30022
Fulton County (404) 625-3031
TRINITY PSYCHOLOGICAL SERVICES
Psychologist (Counseling)
9635 VENTANA WAY, SUITE 101
JOHNS CREEK, GA 30022
Fulton County (678) 366-8862
ADVANCED NEUROSPINE SURGERY CENTER, LLC
Clinic/Center (Ambulatory Surgical)
9635 VENTANA WAY, SUITE 202
JOHNS CREEK, GA 30022
Fulton County (404) 446-4424
PATRICK EDWARD GILLILAND, LLC
Marriage & Family Therapist
9635 VENTANA WAY, SUITE 101
JOHNS CREEK, GA 30022
Fulton County (678) 366-8862

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is David Tillis's NPI number?

The NPI number for David Tillis is 1114159696. It was assigned to this individual provider in the NPPES registry on August 17, 2009.

Where is David Tillis located?

David Tillis practices at 9635 Ventana Way Suite 101, Johns Creek, GA 30022. The listed phone number is (770) 495-6339.

What is David Tillis's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for David Tillis was last updated on August 17, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.