Tyler R Burch | Liberty, MO • PECOS Search

Tyler R Burch

Counselor

Behavioral Health & Social Service Providers

1524 NE 96th St Ste C, Liberty, MO 64068-1380

(816) 368-2000 (816) 269-7939

PECOS Enrollment

Based on the most recent information from CMS, provider Tyler R Burch does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1164065207
Provider Type
Individual
Full Name
Burch, Tyler R
Gender
Male

Sole Proprietor
Yes
Enumeration Date
10/22/2019
Last Updated
10/22/2019

Contact Information

Practice Location

1524 NE 96th St Ste C, Liberty, MO 64068-1380

(816) 533-6873

Mailing Location

9426 N Monroe Ct, Kansas City, MO 64156-2900

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YP2500X Primary	Description Counselor Behavioral Health & Social Service Providers	License 2010007553 Missouri