Provider Demographics
NPI:1164860128
Name:TYLER INSTITUTE
Entity Type:Organization
Organization Name:TYLER INSTITUTE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:ANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:TYLER
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:612-387-1797
Mailing Address - Street 1:4810 FARMSTEAD DR
Mailing Address - Street 2:
Mailing Address - City:MONTICELLO
Mailing Address - State:MN
Mailing Address - Zip Code:55362-8441
Mailing Address - Country:US
Mailing Address - Phone:763-443-7068
Mailing Address - Fax:612-460-0915
Practice Address - Street 1:6600 FRANCE AVE S STE 418
Practice Address - Street 2:
Practice Address - City:EDINA
Practice Address - State:MN
Practice Address - Zip Code:55435-1817
Practice Address - Country:US
Practice Address - Phone:612-387-1797
Practice Address - Fax:612-460-0915
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-11
Last Update Date:2017-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty
No364SP0200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPediatricsGroup - Single Specialty