Individual provider · Type 1 NPI
Tyler Gates Bennett, LPC
Mental Health Counselor · Phoenix, AZ
NPI number
1649834938
Active
Practice location
1919 E Thomas Rd
Phoenix, AZ 85016-7710
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | LPC-16910 (AZ) |
Mental Health Counselor: Definition to come...
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About NPI 1649834938
Tyler Gates Bennett, LPC's National Provider Identifier is 1649834938, issued on Apr 23, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Phoenix, AZ. The record was last updated on May 10, 2019.