Provider Demographics
NPI:1093029704
Name:TILLEY, CHRISTI JEAN (LISW-S)
Entity Type:Individual
Prefix:MS
First Name:CHRISTI
Middle Name:JEAN
Last Name:TILLEY
Suffix:
Gender:F
Credentials:LISW-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8722 S STATE ROUTE 48
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:45140-6614
Mailing Address - Country:US
Mailing Address - Phone:513-808-2543
Mailing Address - Fax:
Practice Address - Street 1:8722 S STATE ROUTE 48
Practice Address - Street 2:
Practice Address - City:LOVELAND
Practice Address - State:OH
Practice Address - Zip Code:45140-6614
Practice Address - Country:US
Practice Address - Phone:513-808-2543
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-05
Last Update Date:2019-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHS.1000491.1041C0700X
OHI. 13036051041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical