Provider Demographics
NPI:1154097400
Name:CHOATE, TYLER PAUL (PLPC)
Entity Type:Individual
Prefix:
First Name:TYLER
Middle Name:PAUL
Last Name:CHOATE
Suffix:
Gender:M
Credentials:PLPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106 HOPEWELL LN
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70508-6649
Mailing Address - Country:US
Mailing Address - Phone:337-255-0350
Mailing Address - Fax:
Practice Address - Street 1:3112 W PINHOOK RD STE B
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70508-3443
Practice Address - Country:US
Practice Address - Phone:337-703-2806
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-17
Last Update Date:2021-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor