Dominguez, Tye

Dominguez, Tye is an sole proprietor health care provider with primary practice located at 350 Indian Boundary Rd , Chesterton IN 46304-1511. He 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 / Mental Health. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Dominguez, Tye can be contacted via phone (219) 929-5367.

Contact Information

Primary practice address
350 Indian Boundary Rd Chesterton IN 46304-1511
Phone: (219) 929-5367
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 87001723A Indiana
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 88001750A Indiana

Profile Details

NPI number 1518643659
LBN Legal business name Dominguez, Tye
Credentials LCAC, LMHCA, NCC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 23rd, 2023
Last updated Jun 23rd, 2023 - about last year

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.

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