Individual ProviderTezlynn TillmonStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address17235 N 75th Ave Ste F100, Glendale, AZ 85308-0871(480) 641-1165(918) 815-6257PECOS EnrollmentBased on the most recent information from CMS, provider Tezlynn Tillmon does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 1:10 PM.Profile DetailsProvider ID1902509003Provider TypeIndividualFull NameTillmon, TezlynnGenderFemaleSole ProprietorNoEnumeration Date3/27/2023Last Updated3/27/2023Contact InformationPractice LocationPractice Address17235 N 75th Ave Ste F100, Glendale, AZ 85308-0871Phone(480) 641-1165FaxUnlisted FaxMailing LocationMailing Address20251 N 75th Ave Apt 2065, Glendale, AZ 85308-7906Phone(918) 815-6257FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted IssuerCode106H00000XDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer