Healthcare Provider Details

I. General information

NPI: 1336008200
Provider Name (Legal Business Name): TYLER MARSHALL MA, LPCC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/16/2026
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7111 W ALAMEDA AVE STE J #4131
LAKEWOOD CO
80226
US

IV. Provider business mailing address

7111 W ALAMEDA AVE STE J #4131
LAKEWOOD CO
80226
US

V. Phone/Fax

Practice location:
  • Phone: 720-514-9227
  • Fax:
Mailing address:
  • Phone: 720-514-9227
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPCC.0025224
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: