Healthcare Provider Details

I. General information

NPI: 1376457119
Provider Name (Legal Business Name): TYLER REED COCHRAN LPC ASSOCIATE
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

325 N MAIN ST
BELTON TX
76513-3162
US

IV. Provider business mailing address

1912 SOUTHBEND RD
SALADO TX
76571-5966
US

V. Phone/Fax

Practice location:
  • Phone: 254-933-2273
  • Fax: 254-933-2531
Mailing address:
  • Phone: 512-965-5257
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number99316
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: