Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

M'Lisa Tillack, LCSW

Individual provider Mental Health Counselor · NPI 1134377211

M'Lisa Tillack, LCSW is a Mental Health Counselor in American Fork, Utah. Works from 2 locations. Licensed in Utah.

Licensed in
UT
In the registry since
2008
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

See every abbreviation used in this directory →

Practice location Address checks out

131 S 700 E Ste 102
American Fork, UT 84003
Phone: (801) 701-8061
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1780 W 500 S, Salt Lake City, UT 84104-3505 — (801) 725-4140

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 13275 (UT)

Record details

NPI number1134377211
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedSeptember 3, 2008
Last updated in NPPESApril 9, 2019

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