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

Individual provider Mental Health Counselor · NPI 1366930802

Tyler Young Quattlebaum, LPC is a Mental Health Counselor in Fayetteville, Arkansas. Practices as a sole proprietor. Licensed in Arkansas.

Licensed in
AR
In the registry since
2018
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

19 E Mountain St Ste 1
Fayetteville, AR 72701-6067
Phone: (479) 381-0831
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence P2210005 (AR)

Record details

NPI number1366930802
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC
Sole proprietorYes
NPI enumeratedApril 30, 2018
Last updated in NPPESOctober 10, 2022
Certification dateOctober 10, 2022

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