Search › Indiana › 1041C0700X
Tyler Willis, LCSW
NPI 1669356481 · on the registry since 2025 · sole proprietor
Practice
- Address
- 734 Ridge Crest Ct
Bloomington, IN 47401 - Phone
- (317) 714-6455
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-08-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana