Individual provider · Type 1 NPI

Jordan Tyler

Community/Behavioral Health Agency · Gastonia, NC

NPI number 1336090802 Active

Practice location

4200 Everest Dr
Gastonia, NC 28054-0004

Call (202) 558-8223 Map

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000XNone listed

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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About NPI 1336090802

Jordan Tyler's National Provider Identifier is 1336090802, issued on Feb 9, 2026. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Gastonia, NC. The record was last updated on Feb 9, 2026.