Tyler J Gordon, CMHC - Counselor in St George, UT

Tyler J Gordon, CMHC is a Counselor - Mental Health based in St George, Utah. Tyler J Gordon is licensed to practice in Utah (license number 10977493-6009) and his current practice location is 750 Ridgeview Dr Ste 104, St George, Utah. He can be reached at his office (for appointments etc.) via phone at (801) 822-2407.

NPI number for Tyler J Gordon is 1104392042 and his current mailing address is 750 Ridgeview Dr Ste 104, St George, Utah. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1104392042.

Contact Information

Tyler J Gordon, CMHC
750 Ridgeview Dr Ste 104,
St George, UT 84770-2696
(801) 822-2407
Not Available

Healthcare Provider's Profile

Full NameTyler J Gordon
GenderMale
SpecialityCounselor - Mental Health
Location750 Ridgeview Dr Ste 104, St George, Utah
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1104392042
  • Provider Enumeration Date: 10/18/2018
  • Last Update Date: 06/22/2023

Medical Identifiers

Medical identifiers for Tyler J Gordon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104392042NPI-NPPES
82-1067031OtherUTSOLE PROPRIETOR BUSINESS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health 10977493-6009 (Utah)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tyler J Gordon is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Tyler J Gordon, CMHC
750 Ridgeview Dr Ste 104,
St George, UT 84770-2696

Ph: (801) 822-2407
Tyler J Gordon, CMHC
750 Ridgeview Dr Ste 104,
St George, UT 84770-2696

Ph: (801) 822-2407

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