Provider Demographics
NPI:1487178968
Name:TILLERY, BRINDA ROBBINS (LCSW)
Entity Type:Individual
Prefix:
First Name:BRINDA
Middle Name:ROBBINS
Last Name:TILLERY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:505 W CENTER ST
Mailing Address - Street 2:
Mailing Address - City:SHERMAN
Mailing Address - State:TX
Mailing Address - Zip Code:75090-7827
Mailing Address - Country:US
Mailing Address - Phone:903-868-9315
Mailing Address - Fax:
Practice Address - Street 1:505 W CENTER ST
Practice Address - Street 2:
Practice Address - City:SHERMAN
Practice Address - State:TX
Practice Address - Zip Code:75090-7827
Practice Address - Country:US
Practice Address - Phone:903-868-9315
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-27
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX532481041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical