Individual provider · Type 1 NPI

Tyler Sullins, LPC

Professional Counselor · Tyler, TX

NPI number 1255801700 Active

Practice location

7925 S Broadway Ave Ste 820
Tyler, TX 75703-5255

Mailing address

3528 New Copeland Rd
Tyler, TX 75701-8800

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X71869 (TX)

Professional Counselor: Definition to come...

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About NPI 1255801700

Tyler Sullins, LPC's National Provider Identifier is 1255801700, issued on Nov 27, 2018. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Tyler, TX. The record was last updated on Nov 27, 2018.