Provider Demographics
NPI:1922765650
Name:ANNE TYLER THERAPY, LLC DBA IN SESSION
Entity Type:Organization
Organization Name:ANNE TYLER THERAPY, LLC DBA IN SESSION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANNE
Authorized Official - Middle Name:JONES
Authorized Official - Last Name:TYLER
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC-S
Authorized Official - Phone:216-407-1542
Mailing Address - Street 1:3204 LORAIN AVE
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44113-3702
Mailing Address - Country:US
Mailing Address - Phone:216-407-1542
Mailing Address - Fax:216-250-8010
Practice Address - Street 1:3204 LORAIN AVE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44113-3702
Practice Address - Country:US
Practice Address - Phone:216-407-1542
Practice Address - Fax:216-250-8010
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-17
Last Update Date:2021-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty