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

Tyler Ellis

Individual provider Peer Specialist · NPI 1649017658

Tyler Ellis is a Peer Specialist in Ashland, Kentucky. Licensed in Kentucky. Registered with an NPI since 2024.

Licensed in
KY
In the registry since
2024

Practice location Address checks out

330 25th St
Ashland, KY 41101-7820
Phone: (866) 233-1955
Show map & directions

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

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence 299696 (KY)

Record details

NPI number1649017658
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 9, 2024
Last updated in NPPESJune 10, 2025
Certification dateJune 10, 2025
Mailing addressPo Box 790, Ashland, KY 41105-0790

Other providers in Ashland