Active NPIIndividual providerSole proprietor

Tyra Beverly

Counselor in Pittsfield, Massachusetts

NPI Number1487004198
Practice location
359 Fenn St, Administrative Offices, Pittsfield, MA 01201-5261
Fax
413-448-2198
Last updated
June 14, 2016

Tyra Beverly is a Counselor based in Pittsfield, MA. Tyra Beverly practices in Pittsfield, MA. The NPI Number for Tyra Beverly is 1487004198. The current practice location address for Tyra Beverly is 359 Fenn St, Administrative Offices, Pittsfield, MA 01201-5261 and can be reached out via phone at 413-629-1262 and via fax at 413-448-2198.

Provider Profile Details

NPI Number
1487004198
Provider Name
Tyra Beverly
Provider Entity Type
Individual
Gender
Female
Address
359 Fenn St, Administrative Offices, Pittsfield, MA 01201-5261
Phone Number
413-629-1262
Fax Number
413-448-2198
Primary Taxonomy
Counselor · 101Y00000X
Sole Proprietor
Yes
Provider Enumeration Date
June 14, 2016
Last Update Date
June 14, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
359 Fenn St
Administrative Offices
Pittsfield, MA 01201-5261
Zip
01201-5261
Phone Number
413-629-1262
Fax Number
413-448-2198
Pittsfield, MA 01201Get directions →

Provider Business Mailing Address Details

Address
359 Fenn St
Administrative Offices
Pittsfield, MA 01201-5261
City
Pittsfield
State
MA
Zip
01201-5261
Phone Number
413-629-1262
Fax Number
413-448-2198

License Information

Taxonomy
Counselor · 101Y00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Tyra Beverly?

The NPI number of Tyra Beverly is 1487004198. It was assigned on June 14, 2016 and is currently active in the NPPES registry.

What is the specialty of Tyra Beverly?

Tyra Beverly is registered under the primary taxonomy Counselor (code 101Y00000X).

Where does Tyra Beverly practice?

The practice location is 359 Fenn St, Administrative Offices, Pittsfield, MA 01201-5261. The office can be reached at 413-629-1262 (phone) or 413-448-2198 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1487004198 directly on the NPPES registry website.

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