Lange, Tyler Alexius
Lange, Tyler Alexius is an sole proprietor health care provider with primary practice located at 600 Mariners Plaza Dr Ste 603 , Mandeville LA 70448. She recently has 5 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / School. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Lange, Tyler Alexius can be contacted via phone (985) 465-4250.Contact Information
Primary practice address
600 Mariners Plaza Dr Ste 603
Mandeville LA 70448
Phone: (985) 465-4250
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X | ||
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | ||
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | ||
| Behavioral Health & Social Service Providers / School | 101YS0200X |
Profile Details
| NPI number | 1255836169 |
|---|---|
| LBN Legal business name | Lange, Tyler Alexius |
| Credentials | PLPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 24th, 2018 |
| Last updated | Jun 6th, 2018 - about 6 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 | 1255836169 | NPPES |
| Louisiana | Other | 009352933 | BLUE CROSS BLUE SHIELD |
| Louisiana | Other | 009352933 | BLUE CROSS BLUE SHIELD |
| Louisiana | MEDICAID | 009352933 | BLUE CROSS BLUE SHIELD |
| Louisiana | Other | 009352933 | BLUE CROSS BLUE SHIELD |
| Louisiana | Other | 009352933 | BLUE CROSS BLUE SHIELD |
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