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Contact Information

EMILY TILLMAN
201 W 2ND STREET
LONOKE, AR72086
 Phone: 501-676-3151
 Fax: 501-676-3152
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for EMILY TILLMAN · (Female)

NPI # 1306660618
Status Active
Credentials
Entity Individual
Enumeration date 11/13/2024
Last updated 11/13/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • AR License # A2411001
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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