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

Individual provider Mental Health Counselor · NPI 1740793819

Stautcia Tillman, MS, LPC, NCC is a Mental Health Counselor in Conyers, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2017
Specialties on file
2
What do these letters mean?
MS — Master of Science
A graduate science degree.
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

920 Green St SW Ste B
Conyers, GA 30012-5310
Phone: (678) 304-8902
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence LPC010415 (GA)
Mental Health Counselor Taxonomy 101YM0800X · Licence APC004552 (GA)

Record details

NPI number1740793819
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , LPC , NCC
Sole proprietorYes
NPI enumeratedNovember 13, 2017
Last updated in NPPESOctober 30, 2025
Certification dateOctober 30, 2025

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