Individual
TYLER JAMES BRENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
2810 E CAUSEWAY APPROACH, MANDEVILLE, LA 70448-3502
(985) 898-7420
(985) 898-7271
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
14340
LA
Other
Enumeration date
11/19/2020
Last updated
07/08/2021
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