Coleman, Tyler B
Coleman, Tyler B is an sole proprietor health care provider with primary practice located at 2825 Stockyard Rd Ste A22 , Missoula MT 59808-1546. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Coleman, Tyler B can be contacted via phone (406) 396-5910.Contact Information
Primary practice address
2825 Stockyard Rd Ste A22
Missoula MT 59808-1546
Phone: (406) 396-5910
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 664 | Montana |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 1041 | Montana |
Profile Details
| NPI number | 1184781221 |
|---|---|
| LBN Legal business name | Coleman, Tyler B |
| Credentials | MA, LCPC, LAC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 1st, 2007 |
| Last updated | Jun 6th, 2024 - about 5 months 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 | 1184781221 | NPPES |
| Montana | Other | 742530 | BLUECROSS BLUESHIELD |
| Montana | MEDICAID | 0256880 | BLUECROSS BLUESHIELD |
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