Organization Active NPI

Megan Tillman LMFT LLC

  • Marriage & Family Therapist
  • Valdosta, GA
National Provider Identifier
1013600824
Registry record updated Jan 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
MEGAN TILLMAN LMFT LLC
Doing business as
Living Well Therapy Center
Practice address
3310 Bemiss Rd
Valdosta, GA 31605-7014
Phone
(229) 586-6082
NPI assigned
May 29, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Megan Tillman, LMFTNPI 1194061382
Title
Owner
Phone
(229) 586-6082

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

3310 Bemiss Rd
Valdosta, GA 31605-7014

Mailing address

3310 Bemiss Rd
Valdosta, GA 31605-7014
Phone (229) 586-6082

Other names 1

  • Living Well Therapy Center Doing business as

National Provider Directory

National Provider Directory

Locations

3310 Bemiss Rd
Valdosta, GA 31605
Phone (229) 586-6082

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1685318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738195200000",
    "number": "1013600824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3310 BEMISS RD",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316057014",
            "telephone_number": "229-586-6082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3310 BEMISS RD",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316057014",
            "telephone_number": "229-586-6082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEGAN TILLMAN LMFT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-29",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A",
        "authorized_official_last_name": "TILLMAN",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "229-586-6082",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Living Well Therapy Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Living Well Therapy Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Valdosta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.