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NPI Code Detail

MEDICARE: MR. TYLER WEBER LMHC

MEDICARE: MR. TYLER WEBER LMHC
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 CounselorMH23966FL

General Provider Information

NPI Number : 1720730609
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. TYLER WEBER LMHC
Provider Business Mailing Address
First Line : 5216 BILLINGS ST
Second Line :
City : LEHIGH ACRES
State : FL
Zip : 33971-6482
Country : US
Telephone Number : 954-478-1627
Fax Number :
Provider Business Practice Location Address
First Line : 12811 KENWOOD LN STE 213
Second Line :
City : FORT MYERS
State : FL
Zip : 33907-5648
Country : US
Telephone Number : 239-880-2074
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/22/2022
Last Update Date : 08/01/2024

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