Burns, Tyler R
Burns, Tyler R is an individual health care provider with primary practice located at 6171 Childers Rd , Barboursville WV 25504. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Burns, Tyler R can be contacted via phone (304) 733-5380.Contact Information
Primary practice address
6171 Childers Rd
Barboursville WV 25504
Phone: (304) 733-5380
Fax: (304) 733-5796
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 2191 | West Virginia |
Profile Details
| NPI number | 1063881613 |
|---|---|
| LBN Legal business name | Burns, Tyler R |
| Credentials | MA, LPC, AADC, NCC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 24th, 2015 |
| Last updated | May 23rd, 2018 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063881613 | NPPES |
| West Virginia | MEDICAID | 0005355002 |
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