MEDICARE: TILLMAN PSYCHIATRY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1578454518
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TILLMAN PSYCHIATRY LLC

Provider Business Mailing Address
First Line	:	10 WHITE OAK DR
Second Line	:
City	:	CONWAY
State	:	AR
Zip	:	72034-3444
Country	:	US
Telephone Number	:	501-470-8265
Fax Number	:

Provider Business Practice Location Address
First Line	:	10 WHITE OAK DR
Second Line	:
City	:	CONWAY
State	:	AR
Zip	:	72034-3444
Country	:	US
Telephone Number	:	501-470-8265
Fax Number	:

Authorized Official
Title or Position	:	OWNER/PMHNP
Name	:	QUELINDA TILLMAN-WILSON
Credential	:
Telephone Number	:	501-470-8265

Provider Enumeration Date	:	07/09/2025
Last Update Date	:	07/09/2025

Similar Medicare Providers

1821661802 — QUE'LINDA LADAWN TILLMAN-WILSON PMHNP
Practice Location Address:

10 WHITE OAK DR
CONWAY, AR
72034-3444

Practice Phone: 501-232-3101
Practice Fax:

1558115352 — PAYTON BAILEY SLP
Practice Location Address:

685 SHELBY TRL
CONWAY, AR
72034-7167

Practice Phone: 501-358-6868
Practice Fax:

1033061270 — KYLER PAIGE BARRAGAR
Practice Location Address:

2740 COLLEGE AVE
CONWAY, AR
72034-6141

Practice Phone: 501-329-5459
Practice Fax:

1639021645 — IESHA A CREGGETT APRN
Practice Location Address:

2255 STURGIS RD
CONWAY, AR
72034-8029

Practice Phone: 501-205-0011
Practice Fax:

1326998071 — CONTINUE COUNSELING LLC
Practice Location Address:

1517 CALDWELL ST
CONWAY, AR
72034-5240

Practice Phone: 817-676-3995
Practice Fax:

1467580076 — CHRISTIE JONES LMSW
Practice Location Address:

350 SALEM RD STE 1
CONWAY, AR
72034-6166

Practice Phone: 501-336-8300
Practice Fax: 479-890-5364

Directions to “TILLMAN PSYCHIATRY LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.