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Tyler Buckhout, Licsw, Llc
Adolescent and Children Mental Health Clinic/Center in East Boston, Massachusetts
NPI 1760253058

Tyler Buckhout, Licsw, Llc is an Adolescent and Children Mental Health Clinic/Center based in East Boston, MA and is specialized in Adolescent and Children Mental Health. Tyler Buckhout, Licsw, Llc practices in East Boston, MA. The NPI Number for Tyler Buckhout, Licsw, Llc is 1760253058 and holds a License No. (Massachusetts).

The current practice location address for Tyler Buckhout, Licsw, Llc is 14 Haynes St Unit 101, East Boston, MA and can be reached out via phone at 617-863-0096.

Location: 14 Haynes St Unit 101, East Boston, MA, 02128-4952
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1760253058
Provider Name
Tyler Buckhout, Licsw, Llc
Credential
Provider Entity Type
Organization
Address
14 Haynes St Unit 101, East Boston, MA, 02128-4952
Phone Number
617-863-0096
Fax Number
Provider Enumeration Date
01/15/2024
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
14 Haynes St Unit 101
City
East Boston
State
Massachusetts
Zip
02128-4952
Phone Number
617-863-0096
Fax Number
person
Provider Business Mailing Address Details
Address
14 Haynes St Unit 101
City
East Boston
State
Massachusetts
Zip
02128-4952
Phone Number
617-863-0096
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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