National Provider Identifier

Lisa Ann Tyler, LMHC NBCC

Lisa Ann Tyler, LMHC NBCC is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Penfield, NY and a listed phone number of (585) 370-3085.

NPI 1740731629Penfield, NYMental Health Counselor

Profile Overview

NPI
1740731629
Provider Type
Individual
Primary Specialty
Mental Health Counselor
Enumeration Date
October 17, 2016
Last Updated
October 17, 2016

Practice Location

  • 61 Brantley Way
  • Penfield, NY 14526-2852

Phone: (585) 370-3085

Specialties

  • Mental Health Counselor (101YM0800X)
Full Record
NPI
1740731629
Entity Type
Individual
Last Name
Tyler
First Name
Lisa
Middle Name
Ann
Name Prefix
Mrs.
Credential
LMHC NBCC
Mailing Street Address
61 Brantley Way
Mailing City
Penfield
Mailing State
NY
Mailing ZIP Code
14526-2852
Mailing Country
US
Mailing Phone
(585) 370-3085
Practice Street Address
61 Brantley Way
Practice City
Penfield
Practice State
NY
Practice ZIP Code
14526-2852
Practice Country
US
Practice Phone
(585) 370-3085
Enumeration Date
October 17, 2016
Last Updated
October 17, 2016
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Mental Health Counselor (101YM0800X)