Malisa Tillman
Malisa Tillman is a Mental Health Counselor in Lafayette, Louisiana. Practices as a sole proprietor. Registered with an NPI since 2015.
- In the registry since
- 2015
- Specialties on file
- 2
Practice location Address checks out
1144 Coolidge Blvd Ste CLafayette, LA 70503-2622
Phone: (337) 266-7170
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Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X |
|---|---|
| Mental Health Counselor | Taxonomy 101YM0800X |
Record details
| NPI number | 1316312127 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | December 4, 2015 |
| Last updated in NPPES | May 8, 2019 |
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