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Tyler William Sullivan, LMHCA
Mental Health Counselor in Lafayette, Indiana
NPI 1255024006

Tyler William Sullivan is a Mental Health Counselor based in Lafayette, IN and is specialized in Mental Health. Tyler William Sullivan practices in Lafayette, IN and has the professional credentials of LMHCA. The NPI Number for Tyler William Sullivan is 1255024006 and holds a License No. 88001190A (Indiana).

The current practice location address for Tyler William Sullivan is 802 N 9Th St Apt 17, Lafayette, IN and can be reached out via phone at 765-491-1433.

Location: 802 N 9Th St Apt 17, Lafayette, IN, 47904-1983
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1255024006
Provider Name
Tyler William Sullivan
Credential
LMHCA
Provider Entity Type
Individual
Gender
Male
Address
802 N 9Th St Apt 17, Lafayette, IN, 47904-1983
Phone Number
765-491-1433
Fax Number
Provider Enumeration Date
05/30/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
802 N 9Th St Apt 17
City
Lafayette
State
Indiana
Zip
47904-1983
Phone Number
765-491-1433
Fax Number
person
Provider Business Mailing Address Details
Address
802 N 9Th St Apt 17
City
Lafayette
State
Indiana
Zip
47904-1983
Phone Number
765-491-1433
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
88001190A (Indiana)
Definition
Definition to come...
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