Individual
MR. TYLER DAVID MASSIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
OH
175T00000X
Peer Specialist
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
OH
Other
Enumeration date
11/03/2022
Last updated
04/30/2026
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