DR. KELLY M TYNER PH.D.
NPI 1669818985
Marriage & Family Therapist in Shreveport, LA

Q: What is Kelly Tyner's NPI number?

The NPI number for Kelly Tyner is 1669818985. It was assigned to this individual provider in the NPPES registry on May 14, 2013.

Q: What is Kelly Tyner's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Tyner was last updated on May 14, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 14, 2013

820 JORDAN ST, SUITE 570, SHREVEPORT, LA 71101(318) 415-9437 Get Directions Write a Review

NPPES record last updated: May 14, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Kelly M Tyner Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KELLY M TYNER PH.D. (NPI 1669818985) is an individual marriage & family therapist in Shreveport, Louisiana, licensed in Louisiana (MFT1163) and active in the NPI registry since May 2013.

NPPES Registry Identity

NPI1669818985

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameDR. KELLY M TYNERCredential: PH.D.

Location Address820 JORDAN ST, SUITE 570Shreveport, LA 71101-4518

Mailing Address9369 Delores DrShreveport, LA 71118-3304 · (318) 415-9437

Phone(318) 415-9437

Sole ProprietorYes

Enumeration DateMay 14, 2013

✔ NPI 1669818985 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in LA · MFT1163

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

820 JORDAN ST, Shreveport, LA 71101

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. NORMAN THOMAS MOORE LPC, LMFT

Marriage & Family Therapist

820 JORDAN ST, SUITE 570
SHREVEPORT, LA 71101

Caddo Parish (318) 221-4455

TINA MARIA ANDERSON MA

Contractor

820 JORDAN ST, STE 510 B
SHREVEPORT, LA 71101

Caddo Parish (318) 429-4377

JUSTIN K JONES L.P.C.

Counselor (Professional)

820 JORDAN ST, SUITE 401
SHREVEPORT, LA 71101

Caddo Parish (318) 222-6800

MR. FRANK WILLIAM WHITE LCSW

Social Worker (Clinical)

820 JORDAN ST, STE. 570
SHREVEPORT, LA 71101

Caddo Parish (318) 221-4455

MR. KELVIN WAYNE LATSON

Counselor (Mental Health)

820 JORDAN ST
SHREVEPORT, LA 71101

Caddo Parish (318) 208-8166

RED RIVER ORTHOTIC SPECIALISTS, LLC

Prosthetic/Orthotic Supplier

820 JORDAN ST, SUITE 110
SHREVEPORT, LA 71101

Caddo Parish (318) 226-4546

MARY JOHNETT WATERMAN LCSW

Social Worker (Clinical)

820 JORDAN ST, SUITE 220
SHREVEPORT, LA 71101

Caddo Parish (318) 226-8753

DR. JAMES P FLOYD LLC

Internal Medicine

820 JORDAN ST, SUITE 210
SHREVEPORT, LA 71101

Caddo Parish (318) 675-1324

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Tyner's NPI number?

The NPI number for Kelly Tyner is 1669818985. It was assigned to this individual provider in the NPPES registry on May 14, 2013.

Where is Kelly Tyner located?

Kelly Tyner practices at 820 Jordan St Suite 570, Shreveport, LA 71101. The listed phone number is (318) 415-9437.

What is Kelly Tyner's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

When was this NPI record last updated?

The NPPES record for Kelly Tyner was last updated on May 14, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.