| Timara Tyler, LCDC, LMHC | |
|
1501 Corporate Dr Ste 100-s7, Boynton Beach, FL 33426-6600 | |
| (561) 269-9724 | |
| Not Available |
| Full Name | Timara Tyler |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 1501 Corporate Dr Ste 100-s7, Boynton Beach, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811588106 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 15238 (Texas) | Secondary |
| 101YM0800X | Counselor - Mental Health | MH23013 (Florida) | Primary |
| Entity Name | Grow Healthcare Group PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20210414000053 |
| Mailing Address | Practice Location Address |
|---|---|
| Timara Tyler, LCDC, LMHC 7901 4th St N # 10429, St Petersburg, FL 33702-4305 Ph: Not Available | Timara Tyler, LCDC, LMHC 1501 Corporate Dr Ste 100-s7, Boynton Beach, FL 33426-6600 Ph: (561) 269-9724 |
Teri F Isabella, LPCMH Counselor Medicare: Not Enrolled in Medicare Practice Location: 4777 Storkwood Rd Apt A, Boynton Beach, FL 33436 Phone: 302-423-5596 |
Leah Beck, LMHC Counselor Medicare: Accepting Medicare Assignments Practice Location: 8188 S Jog Rd, Suite 201, Boynton Beach, FL 33472 Phone: 561-752-9490 Fax: 561-752-9491 |
Amber M Nagy, RMHCI Counselor Medicare: Not Enrolled in Medicare Practice Location: 3301 Pinehurst Dr, Boynton Beach, FL 33426 Phone: 732-397-9121 |
Shania Mondesir, Counselor Medicare: Not Enrolled in Medicare Practice Location: 809 Se 4th St Apt B, Boynton Beach, FL 33435 Phone: 728-230-9892 |
Mr. Anton Philip Pustaver, M.ED./ED.S, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 411 Bayfront Dr, Boynton Beach, FL 33435 Phone: 561-301-5787 Fax: 352-374-5608 |
Nicole Lynn Schreckinger, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 809 Victory Cir, Boynton Beach, FL 33436 Phone: 774-239-3705 |
Leo Timothy Michael Balseiro, LMHC, NCC Counselor Medicare: May Accept Medicare Assignments Practice Location: 1375 Gateway Blvd, Boynton Beach, FL 33426 Phone: 954-317-9032 |