Provider Demographics
NPI:1841071982
Name:TYLER CASE COUNSELING LLC
Entity type:Organization
Organization Name:TYLER CASE COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TYLER
Authorized Official - Middle Name:
Authorized Official - Last Name:CASE
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:503-583-2410
Mailing Address - Street 1:494 STATE ST STE 270
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97301-3647
Mailing Address - Country:US
Mailing Address - Phone:503-583-2410
Mailing Address - Fax:503-689-8097
Practice Address - Street 1:494 STATE ST STE 270
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97301-3647
Practice Address - Country:US
Practice Address - Phone:503-583-2410
Practice Address - Fax:503-689-8097
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-12
Last Update Date:2023-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health