Healthcare Provider Details

I. General information

NPI: 1427913003
Provider Name (Legal Business Name): TYLER DEAN HARTZ M.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/17/2025
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

744 E LINCOLN HWY
COATESVILLE PA
19320-3590
US

IV. Provider business mailing address

744 E LINCOLN HWY
COATESVILLE PA
19320-3590
US

V. Phone/Fax

Practice location:
  • Phone: 570-728-3362
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: