LUCAS M TILLETT LPC
NPI 1356860282
Counselor - Mental Health in Libertyville, IL
Active since September 12, 2017
About Lucas M Tillett Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LUCAS M TILLETT LPC (NPI 1356860282) is an individual mental health provider in Libertyville, Illinois, licensed in Illinois (178.012634) and active in the NPI registry since September 2017.
NPPES Registry Identity
NPI1356860282
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameLUCAS M TILLETTCredential: LPC
Location Address1580 S MILWAUKEE AVE STE 307Libertyville, IL 60048-3773
Mailing Address7767 Milan WayGurnee, IL 60031-5177 · 18479463428
Phone(847) 946-3428
Sole ProprietorNo
Enumeration DateSeptember 12, 2017
✔ NPI 1356860282 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in IL · 178.012634
1580 S MILWAUKEE AVE STE 307, Libertyville, IL 60048
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Counselor (Professional)
1580 S MILWAUKEE AVE STE 307
LIBERTYVILLE, IL 60048
LIBERTYVILLE, IL 60048
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1356860282, enumerated as an "individual" on September 12, 2017.
The provider is located at 1580 S MILWAUKEE AVE STE 307 LIBERTYVILLE, IL 60048 and the phone number is (847) 946-3428.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
