Provider Demographics
NPI:1043560147
Name:KATE REED TYLER, LCSW, LLC
Entity Type:Organization
Organization Name:KATE REED TYLER, LCSW, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:R
Authorized Official - Last Name:TYLER
Authorized Official - Suffix:
Authorized Official - Credentials:LSCW
Authorized Official - Phone:203-586-6327
Mailing Address - Street 1:56 DANBURY RD
Mailing Address - Street 2:SUITE 9
Mailing Address - City:NEW MILFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06776-3415
Mailing Address - Country:US
Mailing Address - Phone:203-586-6327
Mailing Address - Fax:203-264-6865
Practice Address - Street 1:56 DANBURY RD
Practice Address - Street 2:SUITE 9
Practice Address - City:NEW MILFORD
Practice Address - State:CT
Practice Address - Zip Code:06776-3415
Practice Address - Country:US
Practice Address - Phone:203-586-6327
Practice Address - Fax:203-264-6865
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-15
Last Update Date:2012-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0076671041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty