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

Ricky Tillman

Individual provider Community/Behavioral Health Agency · NPI 1205222312

Ricky Tillman is a Community/Behavioral Health Agency in Knoxville, Tennessee. Practices as a sole proprietor. Licensed in Tennessee.

Licensed in
TN
In the registry since
2015

Practice location Address checks out

9111 Cross Park Dr Ste D200
Knoxville, TN 37923-4506
Phone: (919) 394-4169
Show map & directions

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

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X (TN)

Record details

NPI number1205222312
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 15, 2015
Last updated in NPPESApril 15, 2015

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