=====================================================
General NPI Number Information
=====================================================
NPI Number | 1104748821
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | TYLER COUNSELING SERVICES, PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/27/2026
-----------------------------------------------------
Last Update Date | 07/27/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2422 E WASHINGTON ST
-----------------------------------------------------
City | BLOOMINGTON
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 61704-4478
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 309-491-4928
-----------------------------------------------------
Fax | 309-485-5230
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 274
-----------------------------------------------------
City | BLOOMINGTON
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 61702-0274
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 309-491-4928
-----------------------------------------------------
Fax | 309-485-5230
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | DAWN M TYLER
-----------------------------------------------------
Credential | MS, NCC, LCPC, CCBT
-----------------------------------------------------
Telephone | 309-491-4928
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QM0801X
-----------------------------------------------------
Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------