Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Chandler Terrell Tillman, PEERSUPPORT

Individual provider Peer Specialist · NPI 1235001140

Chandler Terrell Tillman, PEERSUPPORT is a Peer Specialist in Lorain, Ohio. Practices as a sole proprietor and works from 2 locations. Licensed in Ohio.

Licensed in
OH
In the registry since
2025

Practice location Address checks out

1939 Oberlin Ave
Lorain, OH 44052-3959
Phone: (440) 963-7042
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6140 S Broadway, Lorain, OH 44053-3821 — (440) 233-7232

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence APS.003139 (OH)

Record details

NPI number1235001140
Entity typeIndividual (Type 1)
GenderMale
Credentials PEERSUPPORT
Sole proprietorYes
NPI enumeratedSeptember 19, 2025
Last updated in NPPESNovember 11, 2025
Certification dateNovember 11, 2025

Other providers in Lorain