Provider Demographics
NPI:1821583238
Name:JAMES, TYLER (LPC, MA)
Entity Type:Individual
Prefix:MR
First Name:TYLER
Middle Name:
Last Name:JAMES
Suffix:
Gender:M
Credentials:LPC, MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 LEGACY DR APT 2424
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75023-2329
Mailing Address - Country:US
Mailing Address - Phone:972-415-9163
Mailing Address - Fax:
Practice Address - Street 1:400 CHISHOLM PL STE 114
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75075-6957
Practice Address - Country:US
Practice Address - Phone:302-497-5023
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-27
Last Update Date:2018-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX75372101YP2500X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional