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CONLEY TILLMAN JR.
NPI 1629549423
Counselor - Addiction (Substance Use Disorder) in Springfield, OH

Active since December 06, 2018
2624 LEXINGTON AVE, SPRINGFIELD, OH 45505(937) 328-5300(937) 322-4900 Get Directions Write a Review

NPPES record last updated: September 14, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 14, 2021, Dec 6, 2018 (2 updates tracked since 2018).

About Conley Tillman Jr. NPPES

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

CONLEY TILLMAN JR. (NPI 1629549423) is an individual addiction (substance use disorder) provider in Springfield, Ohio, licensed in Ohio (LCDCIII.162257) and active in the NPI registry since December 2018.

NPPES Registry Identity

NPI1629549423
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameCONLEY TILLMAN JR.
Location Address2624 LEXINGTON AVESpringfield, OH 45505-2620
Mailing Address2624 Lexington AveSpringfield, OH 45505-2620 · (937) 328-5300 · Fax (937) 322-4900
Phone(937) 328-5300
Fax(937) 322-4900
Sole ProprietorYes
Enumeration DateDecember 6, 2018
Last NPPES UpdateSeptember 14, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 14, 2021
✔ NPI 1629549423 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in OH · LCDCIII.162257
Also ListedSocial WorkerTaxonomy 104100000X · License W.1800116 (OH)
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X · License CDCA.166069 (OH)
2624 LEXINGTON AVE, Springfield, OH 45505
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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.

ERICK L BISHOP
Case Manager/Care Coordinator
2624 LEXINGTON AVE
SPRINGFIELD, OH 45505
Clark County (937) 328-5300
ERIC J LEE
Case Manager/Care Coordinator
2624 LEXINGTON AVE
SPRINGFIELD, OH 45505
Clark County (937) 328-5300
MCKINLEY HALL, INC.
Clinic/Center (Rehabilitation, Substance Use Disorder)
2624 LEXINGTON AVE
SPRINGFIELD, OH 45505
Clark County (937) 328-5300
MALINDA BOTKIN
Counselor (Addiction (Substance Use Disorder))
2624 LEXINGTON AVE
SPRINGFIELD, OH 45505
Clark County (937) 328-5300
BRANDON NAWMAN
Case Manager/Care Coordinator
2624 LEXINGTON AVE
SPRINGFIELD, OH 45505
Clark County (937) 328-5300
KEIONDRA D SWIFT
Counselor (Addiction (Substance Use Disorder))
2624 LEXINGTON AVE
SPRINGFIELD, OH 45505
Clark County (937) 328-5300
WILLARD D DEARMOND JR.
Social Worker
2624 LEXINGTON AVE
SPRINGFIELD, OH 45505
Clark County (937) 328-5300
KAITLYN ELIZABETH LEE
Case Manager/Care Coordinator
2624 LEXINGTON AVE
SPRINGFIELD, OH 45505
Clark County (937) 328-5300

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 Conley Tillman's NPI number?

The NPI number for Conley Tillman is 1629549423. It was assigned to this individual provider in the NPPES registry on December 6, 2018.

Where is Conley Tillman located?

Conley Tillman practices at 2624 Lexington Ave, Springfield, OH 45505. The listed phone number is (937) 328-5300.

What is Conley Tillman's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Conley Tillman was last updated on September 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.