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STAUTCIA TILLMAN MS, LPC, NCC
NPI 1740793819
Counselor - Mental Health in Conyers, GA

Active since November 13, 2017
920 GREEN ST SW STE B, CONYERS, GA 30012(678) 304-8902 Get Directions Write a Review

NPPES record last updated: October 30, 2025. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Jul 8, 2021, Oct 4, 2018, Nov 13, 2017 (3 updates tracked since 2017).

About Stautcia Tillman Ms, Lpc, Ncc NPPES

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

STAUTCIA TILLMAN MS, LPC, NCC (NPI 1740793819) is an individual mental health provider in Conyers, Georgia, licensed in Georgia (LPC010415) and active in the NPI registry since November 2017.

NPPES Registry Identity

NPI1740793819
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSTAUTCIA TILLMANCredential: MS, LPC, NCC
Location Address920 GREEN ST SW STE BConyers, GA 30012-5310
Mailing AddressPo Box 81384Conyers, GA 30013-9384 · (404) 472-6224
Phone(678) 304-8902
Sole ProprietorYes
Enumeration DateNovember 13, 2017
Last NPPES UpdateOctober 30, 20253 updates tracked since enumeration
NPPES CertifiedOctober 30, 2025
✔ NPI 1740793819 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses✔ Licensed in GA · LPC010415✔ Licensed in GA · APC004552
920 GREEN ST SW STE B, Conyers, GA 30012
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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 Stautcia Tillman's NPI number?

The NPI number for Stautcia Tillman is 1740793819. It was assigned to this individual provider in the NPPES registry on November 13, 2017.

Where is Stautcia Tillman located?

Stautcia Tillman practices at 920 Green St SW Ste B, Conyers, GA 30012. The listed phone number is (678) 304-8902.

What is Stautcia Tillman's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Stautcia Tillman was last updated on October 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.