Tillman, Keia

Tillman, Keia is an sole proprietor health care provider with primary practice located at 614 Woodcrest Manor Dr , Stone Mountain GA 30083-6133. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Tillman, Keia can be contacted via phone (678) 530-5477.

Contact Information

Primary practice address
614 Woodcrest Manor Dr Stone Mountain GA 30083-6133
Phone: (678) 530-5477
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1215695093
LBN Legal business name Tillman, Keia
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 29th, 2021
Last updated Nov 29th, 2021 - about 4 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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