| Timara Tyler, LCDC, LMHC | |
|
3609 High Ridge Way, Boynton Beach, FL 33426 | |
| (682) 738-5091 | |
| Not Available |
| Full Name | Timara Tyler |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 3609 High Ridge Way, Boynton Beach, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811588106 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MH23013 (Florida) | Primary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 15238 (Texas) | Secondary |
| Entity Name | Grow Healthcare Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20210414000053 |
| Mailing Address | Practice Location Address |
|---|---|
| Timara Tyler, LCDC, LMHC 8816 Sierra Trl, Crossroads, TX 76227-2263 Ph: () - | Timara Tyler, LCDC, LMHC 3609 High Ridge Way, Boynton Beach, FL 33426 Ph: (682) 738-5091 |
Teri F Isabella, LPCMH Counselor Medicare: Not Enrolled in Medicare Practice Location: 4777 Storkwood Rd Apt A, Boynton Beach, FL 33436 Phone: 302-423-5596 | |
Leah Beck, LMHC Counselor Medicare: Medicare Enrolled Practice Location: 8188 S Jog Rd, Suite 201, Boynton Beach, FL 33472 Phone: 561-752-9490 Fax: 561-752-9491 | |
Mr. Anton Philip Pustaver, M.ED./ED.S, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 411 Bayfront Dr, Boynton Beach, FL 33435 Phone: 561-301-5787 Fax: 352-374-5608 | |
Nicole Lynn Schreckinger, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 809 Victory Cir, Boynton Beach, FL 33436 Phone: 774-239-3705 | |
Leo Timothy Michael Balseiro, LMHC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1375 Gateway Blvd, Boynton Beach, FL 33426 Phone: 954-317-9032 | |
Brian Hoffman, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4875 Park Ridge Blvd, Boynton Beach, FL 33426 Phone: 561-517-2699 | |
Ms. Rose Marie Lott, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5025 Ashley Lake Dr # 2-013, Boynton Beach, FL 33437 Phone: 863-801-8195 |