Tyler Lee Blackstock, LLPCCADC
Tyler Lee Blackstock, LLPCCADC is a Mental Health Counselor in Plymouth, Michigan. Qualified in 2022, 4 years ago. Practices with Michigan Safe Space LLC, a 2-clinician group and accepts Medicare assignment. Licensed in Michigan.
- Years since qualifying
- 4
- Licensed in
- MI
- In the registry since
- 2019
Practice location Address checks out
9401 N Haggerty RdPlymouth, MI 48170-4696
Phone: (734) 845-6010
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Professional Counselor (primary) | Taxonomy 101YP2500X · Licence 6451022333 (MI) |
|---|
Record details
| NPI number | 1801439112 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | LLPCCADC |
| Sole proprietor | No |
| NPI enumerated | October 21, 2019 |
| Last updated in NPPES | March 13, 2023 |
| Certification date | March 13, 2023 |
Medicare enrollment
| Medicare specialty | MENTAL HEALTH COUNSELOR |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Group practice | Michigan Safe Space Llc — 2 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Plymouth
-
Jamie Artman
595 Forest Ave Ste 7AND11A, Plymouth, MI 48170-1775 · (313) 670-2207
-
MS. Joan Ray Axelrod, LPC
192 N Main St Ste C, Plymouth, MI 48170-1236 · (734) 788-6970
-
Mr. Richard Emmett Boggs, LPC
40400 Ann Arbor Rd E Ste 104A, Plymouth, MI 48170-6615 · (734) 276-3952
-
Mr. James E Calkin, MA, LLPC
9301 N Sheldon Rd, Plymouth, MI 48170-4065 · (734) 347-3935
-
Catherine Lynn Campbell, LPC
429 W Ann Arbor Trl, Plymouth, MI 48170-1625 · (734) 678-4134
-
Halli F Carbrey, MA, LLPC
409 Plymouth Rd Ste 125, Plymouth, MI 48170-4080 · (716) 604-7815