Tyla Mental Health LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH12988 Issued in FL

Legal business name

TYLA MENTAL HEALTH LLC

Practice address

11911 US Highway 1 Ste 201-23
North Palm Beach, FL 33408-2827

Phone

(954) 534-1537

NPI assigned

Nov 30, 2017

Last updated

Nov 30, 2017By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Debi A. S. Douglas, LMHC, MA

Title

Licensed Mental Health Counselor

Phone

(954) 534-1537

Specialties & licenses 2

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1512000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512000000000",
    "number": "1609380526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6120 UNGERER ST",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334586606",
            "telephone_number": "954-534-1537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11911 US HIGHWAY 1 STE 201-23",
            "city": "NORTH PALM BEACH",
            "state": "FL",
            "postal_code": "334082827",
            "telephone_number": "954-534-1537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TYLA MENTAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-30",
        "last_updated": "2017-11-30",
        "status": "A",
        "authorized_official_last_name": "DOUGLAS",
        "authorized_official_first_name": "DEBI",
        "authorized_official_middle_name": "A. S.",
        "authorized_official_title_or_position": "LICENSED MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "954-534-1537",
        "authorized_official_credential": "LMHC, MA"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "MCAP100339",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH12988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in North Palm Beach, FL by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.