Healthcare Provider Details

I. General information

NPI: 1265370092
Provider Name (Legal Business Name): BEE MENTAL WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/23/2026
Last Update Date: 03/23/2026
Certification Date: 03/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

180 S EMPIRE BLVD
COOS BAY OR
97420-3352
US

IV. Provider business mailing address

180 S EMPIRE BLVD
COOS BAY OR
97420-3352
US

V. Phone/Fax

Practice location:
  • Phone: 775-304-3811
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DR. TYLER DAWN COOPER
Title or Position: CEO
Credential: DNP, APRN, PMHNP-BC
Phone: 775-304-3811