Provider Demographics
NPI:1225447253
Name:TILGHMAN, NAIA (LPC)
Entity Type:Individual
Prefix:
First Name:NAIA
Middle Name:
Last Name:TILGHMAN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11720 AMBER PARK DR STE 160
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30009-2271
Mailing Address - Country:US
Mailing Address - Phone:678-696-0463
Mailing Address - Fax:
Practice Address - Street 1:11720 AMBER PARK DR STE 160
Practice Address - Street 2:
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30009-2271
Practice Address - Country:US
Practice Address - Phone:678-696-0463
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-04
Last Update Date:2024-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional