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

Tyler Boris, LLMSW

Individual provider Mental Health Counselor · NPI 1124266267

Tyler Boris, LLMSW is a Mental Health Counselor in Grand Rapids, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2009

Practice location Address checks out

55 Ottawa Ave SW Apt 612
Grand Rapids, MI 49503-4044
Phone: (616) 805-9966
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 6801106011 (MI)

Record details

NPI number1124266267
Entity typeIndividual (Type 1)
GenderMale
Credentials LLMSW
Sole proprietorYes
NPI enumeratedJanuary 28, 2009
Last updated in NPPESSeptember 27, 2023
Certification dateSeptember 27, 2023

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