Healthcare Provider Details

I. General information

NPI: 1982960654
Provider Name (Legal Business Name): KYLEE SUE TULS PH.D., LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/07/2012
Last Update Date: 02/02/2026
Certification Date: 02/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9015 TOWN CENTER PKWY UNIT 106
LAKEWOOD RANCH FL
34202-5012
US

IV. Provider business mailing address

9015 TOWN CENTER PKWY UNIT 106
LAKEWOOD RANCH FL
34202-5012
US

V. Phone/Fax

Practice location:
  • Phone: 941-567-6207
  • Fax:
Mailing address:
  • Phone: 941-567-6207
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH9081
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: