location
search-icon
person
M'lisa Tillack, LCSW
Mental Health Counselor in American Fork, Utah
NPI 1134377211

M'lisa Tillack is a Mental Health Counselor based in Salt Lake City, UT and is specialized in Mental Health. M'lisa Tillack practices in American Fork, UT and has the professional credentials of LCSW. The NPI Number for M'lisa Tillack is 1134377211 and holds a License No. 13275 (Utah).

The current practice location address for M'lisa Tillack is 131 S 700 E Ste 102, American Fork, UT and can be reached out via phone at 801-701-8061.

Location: 131 S 700 E Ste 102, American Fork, UT, 84104-3505
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134377211
Provider Name
M'lisa Tillack
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
131 S 700 E Ste 102, American Fork, UT, 84104-3505
Phone Number
801-701-8061
Fax Number
Provider Enumeration Date
09/03/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
131 S 700 E Ste 102
City
American Fork
State
Utah
Zip
84003
Phone Number
801-701-8061
Fax Number
person
Provider Business Mailing Address Details
Address
131 S 700 E Ste 102
City
American Fork
State
Utah
Zip
84003
Phone Number
801-701-8061
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
13275 (Utah)
Definition
Definition to come...
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.