person
Shalante A Tyson, EDS
Mental Health Counselor in Maitland, Florida
NPI 1174973614

Shalante A Tyson is a Mental Health Counselor based in Jacksonville, FL and is specialized in Mental Health. Shalante A Tyson practices in Maitland, FL and has the professional credentials of EDS. The NPI Number for Shalante A Tyson is 1174973614 and holds a License No. IMH15819 (Florida).

The current practice location address for Shalante A Tyson is 1009 Maitland Center Commons Blvd Ste 2212, Maitland, FL and can be reached out via phone at 352-213-9613.

Location: 1009 Maitland Center Commons Blvd Ste 2212, Maitland, FL, 32256-7866
person
Provider Profile Details
NPI Number
1174973614
Provider Name
Shalante A Tyson
Credential
EDS
Provider Entity Type
Individual
Gender
Female
Address
1009 Maitland Center Commons Blvd Ste 2212, Maitland, FL, 32256-7866
Phone Number
352-213-9613
Fax Number
Provider Enumeration Date
06/15/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1009 Maitland Center Commons Blvd Ste 2212
City
State
Zip
32751-7270
Phone Number
352-213-9613
Fax Number
person
Provider Business Mailing Address Details
Address
1009 Maitland Center Commons Blvd Ste 2212
City
State
Zip
32751-7270
Phone Number
352-213-9613
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
IMH15819 (Florida)
Definition
Definition to come...
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