Individual ProviderTyler HendricksCounselorBehavioral Health & Social Service ProvidersPractice Address2005 Cabot Blvd W, Langhorne, PA 19047-1885(267) 587-2300PECOS EnrollmentBased on the most recent information from CMS, provider Tyler Hendricks does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records today at 11:36 AM.Profile DetailsProvider ID1437502978Provider TypeIndividualFull NameHendricks, TylerGenderMaleSole ProprietorYesEnumeration Date7/20/2016Last Updated7/20/2016Contact InformationPractice LocationPractice Address2005 Cabot Blvd W, Langhorne, PA 19047-1885Phone(267) 587-2300FaxUnlisted FaxMailing LocationMailing Address2005 Cabot Blvd W, Langhorne, PA 19047-1885PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer