Individual
DARNESIA ALYSE TILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHCA
Contact information
Practice address
5412 RUM CHERRY WAY, INDIANAPOLIS, IN 46237-3858
(317) 514-9460
Mailing address
5412 RUM CHERRY WAY, INDIANAPOLIS, IN 46237-3858
(317) 514-9460
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
88001579A
IN
Other
Enumeration date
08/14/2023
Last updated
08/14/2023
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