Individual
MR. TYLER YEATTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
168 KITTY HAWK SQ, LYNCHBURG, VA 24502-4394
(143) 494-1028
Mailing address
168 KITTY HAWK SQ, LYNCHBURG, VA 24502-4394
(434) 941-0289
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0701013860
VA
Other
Enumeration date
02/13/2025
Last updated
02/13/2025
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