SearchVirginia103K00000X

Lauren Tiller

NPI 1760176721 · on the registry since 2023

Practice

Address
316 Brook Park Pl
Forest, VA 24551
Phone
(434) 515-0877
Fax
(434) 433-9131
Organisation at this address
Impact Living Services
Impact Autism Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address
34

Registry record

Primary taxonomy
103K00000X
103K00000X
Also registered as
251S00000X
Licence states on file
VA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-04-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia