Jackson, Tyler

Jackson, Tyler is an sole proprietor health care provider with primary practice located at 1650 White Dr , Batesville AR 72501-9384. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Jackson, Tyler can be contacted via phone (870) 919-3381.

Contact Information

Primary practice address
1650 White Dr Batesville AR 72501-9384
Phone: (870) 919-3381
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X 8001C Arkansas

Profile Details

NPI number 1225469364
LBN Legal business name Jackson, Tyler
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 27th, 2013
Last updated Mar 29th, 2021 - about 5 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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