Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Antanissha Tyler

Individual provider Marriage & Family Therapist · NPI 1154994879

Antanissha Tyler is a Marriage and Family Therapist in Redondo Beach, California. Qualified in 2021, 5 years ago. Licensed in California.

Years since qualifying
5
Licensed in
CA
In the registry since
2021
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Practice location Address checks out

1200 Aviation Blvd
Redondo Beach, CA 90278-4064
Phone: (310) 376-2468
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 117223 (CA)

Record details

NPI number1154994879
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 20, 2021
Last updated in NPPESJuly 20, 2021
Certification dateJuly 20, 2021
Mailing addressPo Box 59612, Los Angeles, CA 90059-0612

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMARRIAGE AND FAMILY THERAPIST
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

Other providers in Redondo Beach