Eisenhart, Tyler

Eisenhart, Tyler is an individual health care provider with primary practice located at 2100 Charlie Hall Blvd , Charleston SC 29414. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Eisenhart, Tyler can be contacted via phone (843) 852-4100.

Contact Information

Primary practice address
2100 Charlie Hall Blvd Charleston SC 29414
Phone: (843) 852-4100
Fax: (843) 573-2393
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 6376 South Carolina
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 6376 South Carolina
Behavioral Health & Social Service Providers / Professional 101YP2500X 6868 South Carolina

Profile Details

NPI number 1215389127
LBN Legal business name Eisenhart, Tyler
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2016
Last updated May 25th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215389127 NPPES
South Carolina MEDICAID 1760596480
South Carolina Other 6376

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