MEDICARE: TYLER WAYLETT

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	BBH-LCPC-LIC-55157	MT

General Provider Information

NPI Number	:	1922548643
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TYLER WAYLETT

Provider Business Mailing Address
First Line	:	1529 BOULDER
Second Line	:
City	:	HELENA
State	:	MT
Zip	:	59601
Country	:	US
Telephone Number	:	406-324-1200
Fax Number	:	406-324-1201

Provider Business Practice Location Address
First Line	:	1529 BOULDER
Second Line	:
City	:	HELENA
State	:	MT
Zip	:	59601
Country	:	US
Telephone Number	:	406-324-1200
Fax Number	:	406-324-1201

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

Provider Enumeration Date	:	02/28/2017
Last Update Date	:	01/15/2026

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Directions to “ TYLER WAYLETT ” Practice Location

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