Walston, Tyler

Walston, Tyler is an sole proprietor health care provider with primary practice located at 3904 Airport Dr Nw Ste A , Wilson NC 27896-8040. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Pastoral, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Walston, Tyler can be contacted via phone (919) 269-9300.

Contact Information

Primary practice address
3904 Airport Dr Nw Ste A Wilson NC 27896-8040
Phone: (919) 269-9300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CSAC21416 North Carolina
Behavioral Health & Social Service Providers / Mental Health 101YM0800X A12877 North Carolina
Behavioral Health & Social Service Providers / Pastoral 101YP1600X
Behavioral Health & Social Service Providers / Professional 101YP2500X A12877 North Carolina

Profile Details

NPI number 1013437748
LBN Legal business name Walston, Tyler
Credentials CSAC, LPCA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 23rd, 2017
Last updated Jun 23rd, 2017 - about 9 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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