AMANDA LYNN TILLERY
NPI 1912258724
Community/Behavioral Health in Tulsa, OK

Active since September 20, 2012
6609 S 112TH EAST AVE, TULSA, OK 74133(918) 709-5292 Get Directions Write a Review

NPPES record last updated: September 20, 2012. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Amanda Lynn Tillery NPPES

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

AMANDA LYNN TILLERY (NPI 1912258724) is an individual community/behavioral health provider in Tulsa, Oklahoma and active in the NPI registry since September 2012.

NPPES Registry Identity

NPI1912258724
Entity TypeIndividualFemale
Primary Taxonomy251S00000X
Provider Legal NameAMANDA LYNN TILLERY
Location Address6609 S 112TH EAST AVETulsa, OK 74133-2630
Mailing Address6609 S 112th East AveTulsa, OK 74133-2630 · (918) 709-5292
Sole ProprietorYes
Enumeration DateSeptember 20, 2012
NPI 1912258724 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
6609 S 112TH EAST AVE, Tulsa, OK 74133

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 Amanda Tillery's NPI number?

The NPI number for Amanda Tillery is 1912258724. It was assigned to this individual provider in the NPPES registry on September 20, 2012.

Where is Amanda Tillery located?

Amanda Tillery practices at 6609 S 112th East Ave, Tulsa, OK 74133. The listed phone number is (918) 709-5292.

What is Amanda Tillery's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Amanda Tillery was last updated on September 20, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.