Tiller, Willowdean

Tiller, Willowdean is an individual health care provider with primary practice located at 801 Jenks Ave Suite C, Panama City FL 32401-2576. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Tiller, Willowdean can be contacted via phone (850) 640-1020.

Contact Information

Primary practice address
801 Jenks Ave Suite C Panama City FL 32401-2576
Phone: (850) 640-1020
Fax: (850) 640-1022
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH6007 Florida
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 984 Florida

Profile Details

NPI number 1033109350
LBN Legal business name Tiller, Willowdean
Credentials LMHC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2005
Last updated Jun 30th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033109350 NPPES
Florida MEDICAID 762242200

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