MEDICARE: TYLER ANDOLINA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	LMHC11616	MA
2	101YP2500X	Professional Counselor	PC019697	PA

General Provider Information

NPI Number	:	1285591107
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TYLER ANDOLINA

Provider Business Mailing Address
First Line	:	501 SMITH DR STE 6
Second Line	:
City	:	CRANBERRY TWP
State	:	PA
Zip	:	16066-4133
Country	:	US
Telephone Number	:	724-776-0350
Fax Number	:

Provider Business Practice Location Address
First Line	:	501 SMITH DR STE 6
Second Line	:
City	:	CRANBERRY TWP
State	:	PA
Zip	:	16066-4133
Country	:	US
Telephone Number	:	724-776-0350
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/05/2026
Last Update Date	:	01/05/2026

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Directions to “ TYLER ANDOLINA ” Practice Location

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