TYLER JORDAN SMITH NPI 1568084119

NPI Information

NPI: 1568084119
Provider Name: TYLER JORDAN SMITH
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
14301 EWING AVE S
BURNSVILLE, MN
ZIP 55306
Phone: (952) 746-5350
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Tyler Jordan Smith is a mental health counselor in Burnsville, MN. Tyler Jordan Smith NPI is 1568084119. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

14301 EWING AVE S
BURNSVILLE, MN
ZIP 55306-885
Phone: (952) 746-5350

The enumeration date for this NPI number is 5/16/2020 and was last updated on 5/16/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health			Yes
2	103K00000X	Behavior Analyst				No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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