Stickle, Tyler

Stickle, Tyler is an individual health care provider with primary practice located at 207 Parker Dr Unit 2B , La Grange KY 40031-1269. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Art Therapist, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Stickle, Tyler can be contacted via phone (502) 418-3469.

Contact Information

Primary practice address
207 Parker Dr Unit 2B La Grange KY 40031-1269
Phone: (502) 418-3469
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 1243 Kentucky
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Art Therapist 221700000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 1243 Kentucky

Profile Details

NPI number 1669778122
LBN Legal business name Stickle, Tyler
Credentials M.ED., LPCC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2011
Last updated May 19th, 2022 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669778122 NPPES
Kentucky Other 600863657 MAGELLAN HEALTH

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