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

Mr. David Roger Tillis, LPC, NCC, MAC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1114159696

Mr. David Roger Tillis, LPC, NCC, MAC is an Addiction (Substance Use Disorder) Counselor in Johns Creek, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2009
Specialties on file
2
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.
NCC — National Certified Counselor
A counsellor certified by the NBCC.

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Practice location Address checks out

9635 Ventana Way Ste 101
Johns Creek, GA 30022-8620
Phone: (770) 495-6339
Fax: (770) 495-6338
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence LPC001626 (GA)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence MAC030853 (GA)

Record details

NPI number1114159696
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC , NCC , MAC
Sole proprietorYes
NPI enumeratedAugust 17, 2009
Last updated in NPPESAugust 17, 2009

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