Tanner, Wyatt Lee
Tanner, Wyatt Lee is an individual health care provider with primary practice located at 6434 E Main St , Reynoldsburg OH 43068-7300. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Social Worker is his primary health care specialty. Tanner, Wyatt Lee can be contacted via phone (614) 528-4471.Contact Information
Primary practice address
6434 E Main St
Reynoldsburg OH 43068-7300
Phone: (614) 528-4471
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | S.1802169 | Ohio |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 151005 | Ohio |
Profile Details
| NPI number | 1265973150 |
|---|---|
| LBN Legal business name | Tanner, Wyatt Lee |
| Credentials | LSW, LCDC III |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 13th, 2017 |
| Last updated | Sep 19th, 2023 - about 3 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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