Amanda Hope Tillman, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFT001033 Issued in GA

Practice address

1905 S Hutchinson Ave
Adel, GA 31620-5246

Phone

(229) 896-4559

Fax

(229) 896-7663

NPI assigned

Oct 12, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285723684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 S HUTCHINSON AVE",
            "city": "ADEL",
            "state": "GA",
            "postal_code": "316205246",
            "telephone_number": "229-896-4559",
            "fax_number": "229-896-7663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 S HUTCHINSON AVE",
            "city": "ADEL",
            "state": "GA",
            "postal_code": "316205246",
            "telephone_number": "229-896-4559",
            "fax_number": "229-896-7663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TILLMAN",
        "first_name": "AMANDA",
        "middle_name": "HOPE",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "GA",
            "license": "MFT001033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tift Regional Health System Inc (Southwell Specialty Clinic Adel)
• Tift Regional Health System, Inc (Cook Medical Center)
• Tift Regional Health System, Inc. (Southwell Medical Sylvia Barr Center)
• Tift Regional Health System, Inc. (Southwell Medical)
• Tift Regional Health System, Inc. (Cook Primary Care)
• Tanya Tim
• Tonyia Wilson (Merriheart Counseling)
• Jasmine Tucker, MSW, LCSW
• Vincent Valencia, M.D.
• David K. Vickers

• Marriage & Family Therapist in Adel, GA
• Providers in Adel, GA by specialty
• Marriage & Family Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.