Individual
ALISHA TYLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-A
Contact information
Practice address
403 STONEY LANDING RD, MONCKS CORNER, SC 29461-3967
(843) 209-9582
Mailing address
P.O. BOX 1030, MONCKS CORNER, SC 29461-3967
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6601
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
435201
—
SC
Enumeration date
06/18/2017
Last updated
06/28/2019
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