Individual
M'LISA TILLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
131 S 700 E STE 102, AMERICAN FORK, UT 84003
(801) 701-8061
Mailing address
1780 W 500 S, SALT LAKE CITY, UT 84104-3505
(801) 725-4140
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
13275
UT
Other
Enumeration date
09/03/2008
Last updated
04/09/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us