Search › Arkansas › 101YM0800X

Tyler Edge, LAC

NPI 1568279479 · on the registry since 2024

Practice

Address
2904 Arkansas Blvd
Texarkana, AR 71854
Phone
(870) 773-4655
Fax
(870) 777-3104
Organisation at this address
Genoa Healthcare Llc
Southwest Arkansas Counseling & Mental Health Center
Southwest Arkansas Counseling And Mental Health Center
Southwest Arkansas Counseling And Mental Health Center, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
100

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
AR
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-01-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arkansas