Willowdean D. Tiller, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

MH 6007 Issued in FL

Legal business name

WILLOWDEAN D. TILLER, INC.

Doing business as

Accolade Counseling

Practice address

801 Jenks Ave
Suite C
Panama City, FL 32401-2576

Phone

(850) 640-1020

NPI assigned

Feb 11, 2011

Organization subpart

No

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

Authorized official

Name

Mrs. Willowdean D Tiller, LMHCNPI 1033109350

Title

Ceo/Counselor

Phone

(850) 640-1020

Specialties & licenses 1

Addresses

Other names 1

• Accolade Counseling Doing business as

Locations

Practitioners 1

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

• Willowdean Tiller, LMHC

  • Mental Health Counselor
  • Panama City, FL
  • NPI 1033109350
  NPD (past) Authorized official

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

{
    "created_epoch": "1297382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297382400000",
    "number": "1730486663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 CHRISTIE LN",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324047650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 JENKS AVE",
            "address_2": "SUITE C",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324012576",
            "telephone_number": "850-640-1020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOWDEAN D. TILLER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-11",
        "last_updated": "2011-02-11",
        "status": "A",
        "authorized_official_last_name": "TILLER",
        "authorized_official_first_name": "WILLOWDEAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO/COUNSELOR",
        "authorized_official_telephone_number": "850-640-1020",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "MH 6007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Accolade Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Thomas Carl Williamson, A.R.N.P.
• Christopher L Willingham, M.D.
• Kirsti F Willis, RN, RNFA
• Monte Revell Willis
• Terrie Willis, OT
• Cynthia Leigh Wilson, PSYD
• Felicia Loe Wilson, LMHC
• Glenda F Wilson, PT
• Jennifer N Wilson
• Joyce Dolce Wilson, CRNA

• Community/Behavioral Health Agency in Panama City, FL
• Providers in Panama City, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2011; 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.