MRS. TYLER DENEE BREWER (NPI# 1992212336) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992212336 |
| Entity Type | Individual |
| Full Name | MRS. TYLER DENEE BREWER |
| Credential | LLPC |
| Practice Address |
1420 University Ave Flint MI 48504-6208 |
| Mailing Address |
4019 N Belsay Rd Flint MI 48506-1631 |
| Practice Telephone | 8102380475 |
| Enumeration Date | 2018-01-08 |
| Last Update Date | 2019-03-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
6401016703 | MI | Behavioral Health & Social Service Providers |
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 171M00000X | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7274 Dixie Hwy, Bridgeport, MI 487229702 | 9893158375 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003324054 | Tyler Brewer | Speech-Language Pathologist | 6811 Taylor Ranch Rd Nw, Albuquerque, NM 87120-2957 | 2018-01-11 |
| Street Address |
1420 UNIVERSITY AVE |
| City | FLINT |
| State | MI |
| Zip Code | 48504-6208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508056714 | Linda Mountz | Psychologist | 1420 University Ave, Flint, MI 48504-6208 | 2007-07-25 |
| 1215544770 | Teresa Evalyn Knox-gibbs | Case Manager/Care Coordinator | 1420 University Ave, Flint, MI 48504-6208 | 2020-09-29 |
| 1073149415 | Jaquitta La'shon Mcfadden | Case Manager/Care Coordinator | 1420 University Ave, Flint, MI 48504-6208 | 2020-03-17 |
| 1386288967 | Eric Warren-james Thompson | Behavior Technician | 1420 University Ave, Flint, MI 48504-6208 | 2019-11-06 |
| 1669013397 | Asprea S Griffin | Behavior Technician | 1420 University Ave, Flint, MI 48504-6208 | 2019-10-03 |
| 1093376352 | Monica Lariviere | Behavior Technician | 1420 University Ave, Flint, MI 48504-6208 | 2019-06-26 |
| 1851867857 | Peggy Brotzke | Behavior Technician | 1420 University Ave, Flint, MI 48504-6208 | 2018-10-17 |
| 1891147195 | Megan Metcalf | Counselor | 1420 University Ave, Flint, MI 48504-6208 | 2016-07-11 |
| 1003299363 | Jessica Knopp | Social Worker | 1420 University Ave, Flint, MI 48504 | 2015-07-06 |
| 1053709626 | Julie Doyle | Social Worker | 1420 University Ave, Flint, MI 48504-6208 | 2015-01-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750935326 | St. Luke N.e.w. Life Center, Inc. | Optometrist | 3115 Lawndale Ave., Flint, MI 48504 | 2019-07-31 |
| 1235797259 | Saarah Amuthan | Dentist | 2051 West Pierson Road, Dental Dreams, Units B-d, Flint, MI 48504 | 2019-06-04 |
| 1639653413 | Chad Warren Montague | Social Worker | 1420 West University Ave, Flint, MI 48504 | 2018-09-18 |
| 1235628744 | Houda Ghassani | Dentist | 2501 W Pierson Rd # Unitsb-d, Flint, MI 48504 | 2018-05-09 |
| 1982108551 | Dawn Michelle Conklin | Physical Therapist | 1069 N Ballenger Hwy, Flint, MI 48504 | 2018-03-20 |
| 1699295204 | Stephen Thomas Holt | Dentist | 2501 West Pierson Road, Units B-d, Flint, MI 48504 | 2017-06-23 |
| 1841601739 | Charles Davis | Pharmacist | 4333 W. Pierson Rd. G, Flint, MI 48504 | 2014-05-13 |
| 1609151109 | All American Pharmacy LLC | Pharmacy | 3104-3106 Flushing Rd, Flint, MI 48504 | 2011-10-15 |
| 1972814143 | Ballenger Pharmacy Center | Pharmacy | 1073 N Ballenger Hwy, Flint Twp, MI 48504 | 2010-06-23 |
| 1932357837 | Katherine Ann Kogelmann | Social Worker | 1420 W. University, Flint, MI 48504 | 2008-09-04 |
| Find all providers in zip 48504 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255930640 | Nikki Lynn Moorman | Counselor | 1295 S Linden Rd Ste F, Flint, MI 48532-3498 | 2020-10-18 |
| 1225635568 | Nichole Wright | Counselor | 5294 Timberwood Point Dr, Flint, MI 48532-2265 | 2020-10-08 |
| 1821603549 | Shift Consulting | Counselor | 2425 S Linden Rd Ste D138, Flint, MI 48532-5482 | 2020-09-10 |
| 1730797291 | Lauren Hawkins | Counselor | 18420 Serenity Way, Flint, TX 75762-9625 | 2020-07-20 |
| 1588214068 | Omni Odum | Counselor | 1121 Villa Linde Ct Bldg 39, Flint, MI 48532-3410 | 2019-09-16 |
| 1992357339 | Jennifer E Malone | Counselor | 1328 Williamsburg Rd, Flint, MI 48507-5628 | 2019-07-16 |
| 1073076055 | Michelle Lowder | Counselor | 17238 Pennie Ln, Flint, TX 75762-9148 | 2019-04-08 |
| 1457814550 | Monica Lynn Blackwell | Counselor | 2425 S Linden Rd Ste 134, Flint, MI 48532-5473 | 2019-04-08 |
| 1679080089 | Candace Shuel | Counselor | 2387 S Linden Rd Ste 124, Flint, MI 48532-5487 | 2018-01-08 |
| 1649786500 | Kristen Alexis Bedevian | Counselor | 16735 Gresham Cir # 101, Flint, TX 75762-3510 | 2017-12-14 |
| Find all providers in FLINT | ||||
Please comment or provide details below to improve the information on MRS. TYLER DENEE BREWER.
| 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.