Tillary Tice's National Provider Identifier (NPI) Details
Tillary Tice, LCSW
NPI: 1326607417
Enumeration Date: 2019-06-11
Last updated: 2021-03-11
Sole Proprietor: YES
Status: active
Postal Address: 67 ROBERT BAKER CT, HINESVILLE, GA
Phone: 609-949-1661
Primary Practice Address: 1441 WOODMONT LN NW, SUITE 389, ATLANTA, GA
Practice's phone: 609-949-1661