Provider Demographics
NPI:1134528235
Name:BING, TYLER JAMES (LMSW)
Entity type:Individual
Prefix:MR
First Name:TYLER
Middle Name:JAMES
Last Name:BING
Suffix:
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9479 RILEY ST STE 245
Mailing Address - Street 2:
Mailing Address - City:ZEELAND
Mailing Address - State:MI
Mailing Address - Zip Code:49464-8750
Mailing Address - Country:US
Mailing Address - Phone:616-741-0043
Mailing Address - Fax:
Practice Address - Street 1:9479 RILEY ST STE 245
Practice Address - Street 2:
Practice Address - City:ZEELAND
Practice Address - State:MI
Practice Address - Zip Code:49464-8750
Practice Address - Country:US
Practice Address - Phone:616-741-0043
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-08-14
Last Update Date:2018-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010896751041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical