Mrs. Candice Elaine Tillman
Professional Counselor
5959 West Loop South Suite 215
Bellaire
, Texas 77401
Mrs. Candice Elaine Tillman
Professional Counselor
5959 West Loop South Suite 215
Bellaire
, Texas 77401
(713) 614-4597
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About
Features
Specialties
- Professional Counselor
Languages spoken
- English
Location
First Address
- Mrs. Candice Elaine Tillman
- 16411 Dawncrest Way
- Sugar Land, TX
- Zip : 77498-7164
- Phone : (713) 614-4597
Second Address
- Mrs. Candice Elaine Tillman
- 5959 West Loop South Suite 215
- Bellaire, TX
- Zip : 77401
- Phone : (713) 614-4597
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 101YP2500X | Professional Counselor | 67063 | TX |
National Provider Identifier
| NPI | 1003218355 |
|---|---|
| Provider Name | Mrs. Candice Elaine Tillman |
| First Address | Sugar Land, TX 77498-7164 |
| Second Address | Bellaire, TX 77401 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/09/2014 |
| Last Update Date | 18/09/2014 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.