Lookup NPI Numbers from the NPI Registry
NPI Profile for TYE DOMINGUEZ in HIGHLAND, IN.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Mental Health |
101YM0800X | |||
Addiction (Substance Use Disorder) |
101YA0400X |
| NPI # | 1518643659 |
|
| Status | Active | |
| Credentials | LCAC, LMHC, NCC | |
| Entity | Individual | |
| Enumeration date | 06/23/2023 | |
| Last updated | 12/05/2024 - More than a year ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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TYE DOMINGUEZ
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TYE DOMINGUEZ, LCAC, LMHC, NCC