Provider Demographics
NPI:1336677806
Name:TILLMAN FRANCOIS, CRESHA LOUISE (MHS)
Entity Type:Individual
Prefix:
First Name:CRESHA
Middle Name:LOUISE
Last Name:TILLMAN FRANCOIS
Suffix:
Gender:F
Credentials:MHS
Other - Prefix:
Other - First Name:CRESHA
Other - Middle Name:LOUISE
Other - Last Name:TILLMAN FRANCOIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MHS
Mailing Address - Street 1:1409 KIRKMAN ST
Mailing Address - Street 2:
Mailing Address - City:LAKE CHARLES
Mailing Address - State:LA
Mailing Address - Zip Code:70601-5344
Mailing Address - Country:US
Mailing Address - Phone:337-419-3586
Mailing Address - Fax:
Practice Address - Street 1:1409 KIRKMAN ST
Practice Address - Street 2:
Practice Address - City:LAKE CHARLES
Practice Address - State:LA
Practice Address - Zip Code:70601-5344
Practice Address - Country:US
Practice Address - Phone:337-802-3914
Practice Address - Fax:337-802-3914
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-30
Last Update Date:2017-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health