MEDICARE: TYLER ROSE ACADEMY OF LEARNING CENTER

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	251S00000X	Community/Behavioral Health Agency	NV20181075641	NV
2	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1508364050
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TYLER ROSE ACADEMY OF LEARNING CENTER

Provider Business Mailing Address
First Line	:	12959 JUPITER RD STE 260
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75238-5227
Country	:	US
Telephone Number	:	586-696-3500
Fax Number	:

Provider Business Practice Location Address
First Line	:	12959 JUPITER RD
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75238-5223
Country	:	US
Telephone Number	:	586-696-3500
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	PEDRA GETER
Credential	:
Telephone Number	:	586-696-3500

Provider Enumeration Date	:	01/30/2018
Last Update Date	:	10/21/2024

Similar Medicare Providers

1447069539 — APPEX HEALTHCARE TEXAS LLC
Practice Location Address:

12959 JUPITER RD STE 125
DALLAS, TX
75238-5223

Practice Phone: 615-275-6734
Practice Fax:

1043368673 — CITADEL HAELTHCARE SERVICES INC
Practice Location Address:

12959 JUPITER RD , SUITE 202
DALLAS, TX
75238-5223

Practice Phone: 214-349-5900
Practice Fax: 214-349-5944

1457497232 — BLOSSOM GROUPS CORPORATION
Practice Location Address:

12959 JUPITER RD , #253
DALLAS, TX
75238-5223

Practice Phone: 469-906-6359
Practice Fax: 469-906-6385

1871002733 — SHONNIA SPEARS LPC
Practice Location Address:

12959 JUPITER RD
DALLAS, TX
75238-5223

Practice Phone: 214-221-0132
Practice Fax:

1679071369 — PEDRA LYNNE THOMAS MS
Practice Location Address:

12959 JUPITER RD
DALLAS, TX
75238-5223

Practice Phone: 586-696-3500
Practice Fax:

1346706041 — IJEOMA DIKE MS, LPC, NCC
Practice Location Address:

12959 JUPITER RD
DALLAS, TX
75238-5223

Practice Phone: 469-491-9751
Practice Fax:

Directions to “TYLER ROSE ACADEMY OF LEARNING CENTER ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.