Tyler Bennett, CMS, QMHS, CDCA

Case Manager/Care Coordinator · MC Dermott, OH

Individual Active NPI

NPI number 1558257063

Practice location

9620 Careys Run Pond Creek Rd
MC Dermott, OH 45652-3902
Phone
(740) 858-6683

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NPI record

NPI
1558257063
Entity type
Individual (Type 1)
Enumeration date
June 13, 2025
Last updated
June 13, 2025
Certified
June 13, 2025
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Case Manager/Care Coordinator Primary 171M00000X — OH
Addiction (Substance Use Disorder) Counselor 101YA0400X — OH
Mental Health Counselor 101YM0800X — OH

Mailing address

PO Box 402
Wheelersburg, OH 45694-0402
Phone
(740) 858-6683

Other practice locations (1)

  • 7175 State Route 104, Mc Dermott, OH 45652-8899 · (740) 858-6683

About Tyler Bennett

Tyler Bennett, CMS, QMHS, CDCA is a healthcare provider registered in the NPI registry with the primary taxonomy Case Manager/Care Coordinator (code 171M00000X). The practice location is 9620 Careys Run Pond Creek Rd, MC Dermott, OH 45652-3902. The NPI number 1558257063 was assigned on June 13, 2025 and the record was last updated on June 13, 2025.

Frequently asked questions

What is the NPI number of Tyler Bennett, CMS, QMHS, CDCA?

The NPI number is 1558257063.

What is the phone number of Tyler Bennett?

The phone number listed for the practice location is (740) 858-6683.

Where is Tyler Bennett located?

9620 Careys Run Pond Creek Rd, MC Dermott, OH 45652-3902.

What is the taxonomy code for Tyler Bennett?

The primary taxonomy code is 171M00000X – Case Manager/Care Coordinator; 2 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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