MS. TYLER D ROY- DAVIS (NPI# 1053587279) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053587279 |
| Entity Type | Individual |
| Full Name | MS. TYLER D ROY- DAVIS |
| Credential | LCPC |
| Practice Address |
2602 West Blvd Suite C Belleville IL 62221-5605 |
| Mailing Address |
9 Primrose Ln Fairview Heights IL 62208-2438 |
| Practice Telephone | 6182079685 |
| Practice Fax Number | 6182136867 |
| Mailing Telephone | 6182079685 |
| Mailing Fax Number | 6182136867 |
| Enumeration Date | 2008-05-07 |
| Last Update Date | 2014-07-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
180-005914 | IL | Behavioral Health & Social Service Providers |
| Street Address |
2602 WEST BLVD SUITE C |
| City | BELLEVILLE |
| State | IL |
| Zip Code | 62221-5605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730409228 | Tiffany J Evans | Counselor | 2602 West Blvd, Suite C, Belleville, IL 62221-5605 | 2010-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679134829 | Dr. Cynthia C. Banderet, Dmd, PC | Clinic/Center | 2630 Mascoutah Ave., Suite A, Belleville, IL 62221 | 2019-06-27 |
| 1942763487 | John Joseph Oldani | Psychologist | Bassc - Belleville Area Special Services Cooperative, 2411 Pathways Crossing, Belleville, IL 62221 | 2019-04-11 |
| 1114497781 | Kendra D Edwards | Counselor | 900 Royal Height Rd Suite 2150, Belleville, IL 62221 | 2018-11-27 |
| 1326537358 | Barbara S Laidlaw | Counselor | 2362 Country Rd, Belleville, IL 62221 | 2018-05-04 |
| 1083133946 | Kierra Jackson | In Home Supportive Care | 2611 Sierra Drive Apt. F, Belleville, IL 62221 | 2017-09-12 |
| 1972022994 | Kathleen Denise Defranco | Speech-Language Pathologist | 2028 Lebanon Ave., Belleville, IL 62221 | 2017-09-11 |
| 1700302270 | Mark Hofelich | Pharmacist | 515 Carlyle Avenue, Belleville, IL 62221 | 2017-08-16 |
| 1912422247 | Cherie Ann Klosterman | Psychologist | Belleville Area Special Services Cooperative, 2411 Pathways Crossing, Belleville, IL 62221 | 2017-08-08 |
| 1134391329 | Barbara Beckley | Home Health Aide | 2726 Cascade Lake Drive, Shiloh, IL 62221 | 2008-03-27 |
| 1356561666 | Belleville Area Spc Srv Co - Adm | Local Education Agency (LEA) | 2411 Pathways Crossing, Belleville, IL 62221 | 2007-04-27 |
| Find all providers in zip 62221 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497360770 | Jaquette Ebony Sterling-ransom | Counselor | 1725 Spruce Hill Dr, Belleville, IL 62221-3602 | 2020-09-13 |
| 1316507429 | Oak Tree Counseling Associates LLC | Counselor | 140 Iowa Ave Ste 207, Belleville, IL 62220-3940 | 2019-06-20 |
| 1447773254 | Advanced Counseling and Outreach | Counselor | 9513 Rolan Meadows Lane, Belleville, MI 48111 | 2017-07-24 |
| 1952789372 | Sankofa Life Solutions | Counselor | 9875 Dartmoor Cir, Belleville, MI 48111-1787 | 2015-05-18 |
| 1144637737 | Heather Marie-hutchins Robert | Counselor | 43086 Riggs Rd, Belleville, MI 48111-3086 | 2014-07-16 |
| 1982039921 | Megan Nicole Kirk | Counselor | 8601 W Main St Ste 201, Belleville, IL 62223 | 2013-09-10 |
| 1679812648 | Kristal M Stanton | Counselor | 1205 18th St, Belleville, KS 66935-2704 | 2013-02-11 |
| 1881921088 | Paris Davette Jackson | Counselor | 1663 Hartman Ln Apt 9, Belleville, IL 62221-6842 | 2009-11-09 |
| 1336392935 | Horizon Hope Counseling | Counselor | 721 E Main, Belleville, IL 62220-3943 | 2008-10-28 |
| 1386833861 | Carter Leroy Frank | Counselor | 111 Hazel Ave., Belleville, IL 62223-1631 | 2007-10-19 |
| Find all providers in BELLEVILLE | ||||
| City | BELLEVILLE |
| Zip Code | 62221 |
Please comment or provide details below to improve the information on MS. TYLER D ROY- DAVIS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.