Provider Demographics
NPI:1871961359
Name:TYLER, JAMIA (MSW)
Entity type:Individual
Prefix:
First Name:JAMIA
Middle Name:
Last Name:TYLER
Suffix:
Gender:
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 MILL VALLEY WAY
Mailing Address - Street 2:
Mailing Address - City:NEW MARKET
Mailing Address - State:AL
Mailing Address - Zip Code:35761-6603
Mailing Address - Country:US
Mailing Address - Phone:707-334-5355
Mailing Address - Fax:
Practice Address - Street 1:4217 9TH AVE SW STE 16
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35805-3407
Practice Address - Country:US
Practice Address - Phone:256-692-2496
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-09-14
Last Update Date:2025-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL330000014Medicaid