| Mildred Bennett Tillman, LCMHC-S,LPC | |
|
3921 Caliper Pl, Fort Mill, SC 29708-8380 | |
| (803) 487-6837 | |
| Not Available |
| Full Name | Mildred Bennett Tillman |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 14 Years |
| Location | 3921 Caliper Pl, Fort Mill, South Carolina |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467898221 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | S10076 (North Carolina) | Secondary |
| 101YM0800X | Counselor - Mental Health | 6864 (South Carolina) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Daymark Recovery Services Inc | 0547233975 | 132 |
| Entity Name | Daymark Recovery Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558329243 PECOS PAC ID: 0547233975 Enrollment ID: O20040814000213 |
| Mailing Address | Practice Location Address |
|---|---|
| Mildred Bennett Tillman, LCMHC-S,LPC 3921 Caliper Pl, Fort Mill, SC 29708-8380 Ph: (803) 487-6837 | Mildred Bennett Tillman, LCMHC-S,LPC 3921 Caliper Pl, Fort Mill, SC 29708-8380 Ph: (803) 487-6837 |
Ebony P. Kennedy, M.ED., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2764 Pleasant Rd Ste A Pmb 738, Fort Mill, SC 29708 Phone: 864-275-9926 |
Rebecca Matthews, Counselor Medicare: Not Enrolled in Medicare Practice Location: 122 Clebourne St, Fort Mill, SC 29715 Phone: 704-931-1010 |
Mia White, Counselor Medicare: Not Enrolled in Medicare Practice Location: 831 Flatwater Ct, Fort Mill, SC 29708 Phone: 407-474-9981 |
Diamond Turner, Counselor Medicare: Accepting Medicare Assignments Practice Location: 599 Marvin Rd, Fort Mill, SC 29707 Phone: 919-473-6080 |
Katherine Hope Blackley, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2764 Pleasant Rd Ste A413, Fort Mill, SC 29708 Phone: 800-857-0709 Fax: 803-560-0414 |
Michele Killion, LPCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 119 Sonnys Way, Fort Mill, SC 29708 Phone: 803-325-4018 |
Leslie Christian, MA LPC NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 41068 Calla Lily St, Fort Mill, SC 29707 Phone: 803-396-1449 |