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NPI Code Detail

MEDICARE: TYLER ANTHONY VANEVERY LLPC

MEDICARE: TYLER ANTHONY VANEVERY LLPC
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
1101YM0800XMental Health Counselor6451023669MI

General Provider Information

NPI Number : 1548996747
Entity Type Code : Individual
Provider Name (Legal Business Name) : TYLER ANTHONY VANEVERY LLPC
Provider Business Mailing Address
First Line : 24 ALLANDALE DR
Second Line :
City : COLDWATER
State : MI
Zip : 49036-1010
Country : US
Telephone Number : 517-227-2288
Fax Number :
Provider Business Practice Location Address
First Line : 694 W CHICAGO RD
Second Line :
City : COLDWATER
State : MI
Zip : 49036-8405
Country : US
Telephone Number : 517-279-8866
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/29/2022
Last Update Date : 12/19/2025

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Directions to “ TYLER ANTHONY VANEVERY LLPC” Practice Location

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