MEDICARE: MS. TYLER ALEXIUS LANGE LPC-S

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor
2	101YP2500X	Professional Counselor	88494	TX
3	101YS0200X	School Counselor
4	101Y00000X	Counselor
5	101YM0800X	Mental Health Counselor

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	009352933	OTHER	LA	HUMANA
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	48638672	OTHER		BCBS
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	009352933	OTHER	LA	AETNA
6	009352933	OTHER	LA	BLUE CROSS BLUE SHIELD
7	009352933	OTHER	LA	CIGNA

General Provider Information

NPI Number	:	1255836169
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. TYLER ALEXIUS LANGE LPC-S

Provider Business Mailing Address
First Line	:	100 W TEXAS AVE APT 613
Second Line	:
City	:	WEBSTER
State	:	TX
Zip	:	77598-3263
Country	:	US
Telephone Number	:	985-285-6096
Fax Number	:

Provider Business Practice Location Address
First Line	:	6500 ROOKIN ST STE 200
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77074-5019
Country	:	US
Telephone Number	:	713-351-7350
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/24/2018
Last Update Date	:	05/28/2026

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Directions to “ MS. TYLER ALEXIUS LANGE LPC-S” Practice Location

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