| Keenan Tyler, LPC | |
|
956 Iron Bridge Dr, Virginia Beach, VA 23462-4655 | |
| (757) 660-8459 | |
| Not Available |
| Full Name | Keenan Tyler |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 956 Iron Bridge Dr, Virginia Beach, Virginia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609648559 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 0701012951 (Virginia) | Secondary |
| 101YP2500X | Counselor - Professional | 0701012951 (Virginia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Keenan Tyler, LPC 956 Iron Bridge Dr, Virginia Beach, VA 23462-4655 Ph: (757) 218-1279 | Keenan Tyler, LPC 956 Iron Bridge Dr, Virginia Beach, VA 23462-4655 Ph: (757) 660-8459 |
Joy J Sprenkle, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2697 International Pkwy, Virginia Beach, VA 23452 Phone: 757-301-7129 Fax: 757-301-7211 | |
Caitlin Cavanaugh, Counselor Medicare: Not Enrolled in Medicare Practice Location: 101 N Lynnhaven Rd Ste 308, Virginia Beach, VA 23452 Phone: 757-222-4944 | |
Mr. Samuel James Johnson Jr., Counselor Medicare: Not Enrolled in Medicare Practice Location: 2524 Hidden Shores Dr Apt 103, Virginia Beach, VA 23454 Phone: 757-235-1811 | |
Cheryl A St John, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 289 Independence Blvd, Suite 138, Virginia Beach, VA 23462 Phone: 757-385-4980 | |
Rebecca Provost, LPC Counselor Medicare: Medicare Enrolled Practice Location: 921 First Colonial Rd Ste 1711, Virginia Beach, VA 23454 Phone: 757-932-8057 | |
Lydia Steele, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 228 N Lynnhaven Rd Ste 110, Virginia Beach, VA 23452 Phone: 757-340-6100 | |
Frank D Bond, LPC Counselor Medicare: Medicare Enrolled Practice Location: 780 Lynnhaven Pkwy Ste 340, Virginia Beach, VA 23452 Phone: 757-301-8747 |