Individual
ELISA J. TYLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MHPP
Contact information
Practice address
700 SOUTH MAIN, MOUNTAIN HOME, AR 72653
(870) 425-1041
(870) 425-1049
Mailing address
1815 PLEASANT GROVE ROAD, JONESBORO, AR 72404
(870) 933-6886
(870) 933-9395
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/27/2013
Last updated
12/27/2013
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