Individual provider · Type 1 NPI

Tyler Rose O'Sullivan, BS ACT

Addiction (Substance Use Disorder) Counselor · Rapid City, SD

NPI number 1376161026 Active

Practice location

1520 Haines Ave Ste 6
Rapid City, SD 57701-0710

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1376161026

Tyler Rose O'Sullivan, BS ACT's National Provider Identifier is 1376161026, issued on Jul 9, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Rapid City, SD. The record was last updated on Sep 29, 2026.