Provider Demographics
NPI:1740086511
Name:MCKAY, TYLER A (LMHCA)
Entity type:Individual
Prefix:
First Name:TYLER
Middle Name:A
Last Name:MCKAY
Suffix:
Gender:
Credentials:LMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 462
Mailing Address - Street 2:
Mailing Address - City:NORTH BONNEVILLE
Mailing Address - State:WA
Mailing Address - Zip Code:98639-0462
Mailing Address - Country:US
Mailing Address - Phone:601-500-6577
Mailing Address - Fax:
Practice Address - Street 1:1905 SE 192ND AVE STE 203
Practice Address - Street 2:
Practice Address - City:CAMAS
Practice Address - State:WA
Practice Address - Zip Code:98607-7415
Practice Address - Country:US
Practice Address - Phone:360-975-0512
Practice Address - Fax:360-693-2045
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-21
Last Update Date:2025-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health