Individual
MS. CHANTAY TILLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CHAPLAIN
Contact information
Practice address
7151 LIBRARY LN, DALLAS, TX 75232-3827
(214) 670-1947
(214) 258-6878
Mailing address
1515 MATAGORDA DR, DALLAS, TX 75232-2837
(214) 417-3235
(214) 258-6878
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
—
—
172A00000X
Driver
—
—
172V00000X
Community Health Worker
—
—
174200000X
Meals Provider
—
—
174H00000X
Health Educator
—
—
174N00000X
Lactation Consultant (Non-RN)
—
—
175M00000X
Lay Midwife
—
—
251G00000X
Community Based Hospice Care Agency
—
—
251K00000X
Public Health or Welfare Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
373H00000X
Day Training/Habilitation Specialist
—
—
374700000X
Technician
—
—
374J00000X
Doula
Primary
—
—
374T00000X
Religious Nonmedical Nursing Personnel
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
12/26/2024
Last updated
01/01/2025
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