TYLER WOODALL (NPI# 1316556145) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316556145 |
| Entity Type | Individual |
| Full Name | TYLER WOODALL |
| Credential | LPC-INTERN |
| Practice Address |
1668 Keller Parkway Suite 200 Keller TX 76248 |
| Practice Telephone | 5052491179 |
| Mailing Telephone | 5052491179 |
| Enumeration Date | 2020-07-28 |
| Last Update Date | 2020-11-05 |
| NPI Deactivation Date | 10/23/2020 |
| NPI Reactivation Date | 2020-11-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
84349 | TX | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851755672 | Tyler R Woodall | Student in an Organized Health Care Education/Training Program | 2500 N State St, Jackson, MS 39216-4500 | 2016-04-07 |
| Street Address |
1668 KELLER PARKWAY SUITE 200 |
| City | KELLER |
| State | TX |
| Zip Code | 76248 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396366456 | Kelcie Dao | Speech-Language Pathologist | 630 B Stoneglen Drive, Keller, TX 76248 | 2020-04-29 |
| 1003447384 | Alliance Orthotics and Prosthetics, L.L.C. | Prosthetic/Orthotic Supplier | 101 Bourland Rd Suite A, Keller, TX 76248 | 2020-01-27 |
| 1033759832 | Everest Rehabilitation Hospital Keller, LLC | Rehabilitation Hospital | 955 S. Main St., Keller, TX 76248 | 2020-01-09 |
| 1750934253 | Pediatric Dentistry of Keller Pllc | Dentist | 1627 Keller Parkway, Suite 100, Keller, TX 76248 | 2019-07-23 |
| 1306345293 | Jaqui Otto | Psychologist | 1664 Keller Parkway Ste 102, Keller, TX 76248 | 2018-02-06 |
| 1194223404 | Hartman Samuel Ian Watson | Chiropractor | 1211 S Main St Ste 300h, Keller, TX 76248 | 2018-02-01 |
| 1760900997 | Md First Watch Healthcare Pllc | Clinic/Center | 310 Keller Parkway, Keller, TX 76248 | 2017-09-08 |
| 1588104541 | Elias Alharari | Nurse Practitioner | 651 S Main St Ste 102, Keller, TX 76248 | 2017-02-24 |
| 1730631698 | Alliance Counseling and Education Center | Social Worker | 1540 Keller Parkway, Ste. 108-205, Keller, TX 76248 | 2016-10-26 |
| 1417406281 | Sandy James | Behavioral Analyst | 328 Anita Ave, Keller, TX 76248 | 2016-09-22 |
| Find all providers in zip 76248 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518592294 | Allison Brown Fond | Counselor | 547 Big Bend Dr, Keller, TX 76248-2525 | 2020-03-03 |
| 1366094526 | Rachael Nicole Patterson | Counselor | 8821 Davis Blvd Ste 300, Keller, TX 76248-0328 | 2019-07-09 |
| 1306345475 | Hope and Growth Center Pllc | Counselor | 1240 Keller Pkwy Ste 202, Keller, TX 76248-1630 | 2018-02-05 |
| 1992228720 | Lacey Denise Mccomas | Counselor | 5751 Park Vista Circle, Suite 101, Keller, TX 76244-7624 | 2017-07-24 |
| 1902355290 | Sheila Dawn Hensley | Counselor | 1668 Keller Pkwy Ste 200, Keller, TX 76248-3711 | 2016-09-27 |
| 1407221138 | Mark Krynski | Counselor | 113 E Hill St, Keller, TX 76248-2236 | 2015-12-07 |
| 1013332832 | Katherine Leath | Counselor | 200 S Main St Ste 1, Keller, TX 76248-7053 | 2014-03-03 |
| 1568712925 | Mark W Weston | Counselor | 1870 Rufe Snow Dr, Keller, TX 76248-5629 | 2012-09-13 |
| 1770848863 | Jennifer Tailleur | Counselor | 1668 Keller Pkwy, 100, Keller, TX 76248-3702 | 2012-07-05 |
| 1891058285 | Judy (carolyn) Williams | Counselor | 200 N Rufe Snow Dr Ste 207, Keller, TX 76248-4239 | 2012-06-20 |
| Find all providers in KELLER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.