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MALLORY LYNN TILLIS SLP
NPI 1124519145
Speech-Language Pathologist in Jacksonville, FL

Active since May 24, 2018
6820 SOUTHPOINT PKWY STE 9, JACKSONVILLE, FL 32216(039) 888-8754 Get Directions Write a Review

NPPES record last updated: July 28, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 28, 2024, Dec 8, 2021, May 24, 2018 (3 updates tracked since 2018).

About Mallory Lynn Tillis Slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MALLORY LYNN TILLIS SLP (NPI 1124519145) is an individual speech-language pathologist provider in Jacksonville, Florida, licensed in Colorado (SLP.0005885) and active in the NPI registry since May 2018.

NPPES Registry Identity

NPI1124519145
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMALLORY LYNN TILLISCredential: SLP
Location Address6820 SOUTHPOINT PKWY STE 9Jacksonville, FL 32216-6277
Mailing Address15701 E 1st Ave Ste 106Aurora, CO 80011-9037
Phone(039) 888-8754
Sole ProprietorNo
Enumeration DateMay 24, 2018
Last NPPES UpdateJuly 28, 20243 updates tracked since enumeration
NPPES CertifiedJuly 28, 2024
✔ NPI 1124519145 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
Licenses✔ Licensed in CO · SLP.0005885✔ Licensed in FL · SA14700
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
6820 SOUTHPOINT PKWY STE 9, Jacksonville, FL 32216
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Other Names 1

Former Name (1)Mallory Butler Slp

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMAYA FRANCIS MARIE MARZANO
Behavior Technician
6820 SOUTHPOINT PKWY STE 9
JACKSONVILLE, FL 32216
Duval County (888) 754-0398
ELIJAH ANTHONY JUDGE
Behavior Technician
6820 SOUTHPOINT PKWY STE 9
JACKSONVILLE, FL 32216
Duval County (888) 754-0398
ALKIMA L DAVIS
Behavior Technician
6820 SOUTHPOINT PKWY STE 9
JACKSONVILLE, FL 32216
Duval County (888) 754-0398
SCOTT BOYKIN
Behavior Technician
6820 SOUTHPOINT PKWY STE 9
JACKSONVILLE, FL 32216
Duval County (888) 754-0398
BRITTANY DAY
Behavior Technician
6820 SOUTHPOINT PKWY STE 9
JACKSONVILLE, FL 32216
Duval County (888) 754-0398
TANGELA THOMPSON
Behavior Technician
6820 SOUTHPOINT PKWY STE 9
JACKSONVILLE, FL 32216
Duval County (888) 754-0398
UNIQUE CREWS
Behavior Technician
6820 SOUTHPOINT PKWY STE 9
JACKSONVILLE, FL 32216
Duval County (888) 754-0398
CAITLYN TYSON
Behavior Analyst
6820 SOUTHPOINT PKWY STE 9
JACKSONVILLE, FL 32216
Duval County (888) 754-0398

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mallory Tillis's NPI number?

The NPI number for Mallory Tillis is 1124519145. It was assigned to this individual provider in the NPPES registry on May 24, 2018. The provider is also known as Mallory Butler Slp.

Where is Mallory Tillis located?

Mallory Tillis practices at 6820 Southpoint Pkwy Ste 9, Jacksonville, FL 32216. The listed phone number is (039) 888-8754.

What is Mallory Tillis's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

What insurance does Mallory Tillis accept?

Health plans from Molina Healthcare list Mallory Tillis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mallory Tillis was last updated on July 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.