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

Tyler Mallory, CPS, CHW-C

Individual provider Peer Specialist · NPI 1831998764

Tyler Mallory, CPS, CHW-C is a Peer Specialist in Salisbury, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2025

Practice location Address checks out

105 S Weber Ave
Salisbury, MO 65281-1071
Phone: (660) 338-5001
Show map & directions

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

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence 17723 (MO)

Record details

NPI number1831998764
Entity typeIndividual (Type 1)
GenderMale
Credentials CPS , CHW-C
Sole proprietorYes
NPI enumeratedMarch 12, 2025
Last updated in NPPESMarch 12, 2025
Certification dateMarch 12, 2025
Mailing address102 W Hill St, Huntsville, MO 65259-1197