Tyler Buckhout, Licsw, Llc

LBN: Tyler Buckhout, Licsw, Llc
Tyler Buckhout, Licsw, Llc is an health care organization with primary practice located at 14 Haynes St Unit 101 , East Boston MA 02128-4952. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Ambulatory Health Care Facilities / Adult Mental Health is the primary health care specialty. Tyler Buckhout, Licsw, Llc can be contacted via phone (617) 863-0096, or through Buckhout, Tyler S via phone (978) 387-4404.

Contact Information

Primary practice address
14 Haynes St Unit 101 East Boston MA 02128-4952
Phone: (617) 863-0096
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Buckhout, Tyler S LICSW
Phone: (978) 387-4404

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X

Profile Details

NPI number 1760253058
LBN Legal business name Tyler Buckhout, Licsw, Llc
DBA Doing business as
Authorized official Buckhout, Tyler S LICSW
Entity Organization
Organization subpart 1 No
Enumeration date Jan 15th, 2024
Last updated Jan 15th, 2024 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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