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Tyra Fowler
Mental Health Counselor in Garland, Texas
NPI 1275916694

Tyra Fowler is a Mental Health Counselor based in Garland, TX and is specialized in Mental Health. Tyra Fowler practices in Garland, TX. The NPI Number for Tyra Fowler is 1275916694 and holds a License No. 11623 (Texas).

The current practice location address for Tyra Fowler is 2705 Deer Creek Ct, Garland, TX and can be reached out via phone at 972-898-1630.

Location: 2705 Deer Creek Ct, Garland, TX, 75040-3939
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275916694
Provider Name
Tyra Fowler
Credential
Provider Entity Type
Individual
Gender
Female
Address
2705 Deer Creek Ct, Garland, TX, 75040-3939
Phone Number
972-898-1630
Fax Number
Provider Enumeration Date
07/02/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2705 Deer Creek Ct
City
Garland
State
Texas
Zip
75040-3939
Phone Number
972-898-1630
Fax Number
person
Provider Business Mailing Address Details
Address
2705 Deer Creek Ct
City
Garland
State
Texas
Zip
75040-3939
Phone Number
972-898-1630
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
68725 (Texas)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
11623 (Texas)
Definition
Definition to come...
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