Tyner, Mary
Tyner, Mary is an sole proprietor health care provider with primary practice located at 10748 Virginia Plz Ste 107 , La Vista NE 68128-3265. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Tyner, Mary can be contacted via phone (402) 933-4411.Contact Information
Primary practice address
10748 Virginia Plz Ste 107
La Vista NE 68128-3265
Phone: (402) 933-4411
Fax: (888) 507-5931
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | ||
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 4463 | Nebraska |
Profile Details
| NPI number | 1366053969 |
|---|---|
| LBN Legal business name | Tyner, Mary |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 17th, 2020 |
| Last updated | Mar 9th, 2026 - about 7 months 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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