person
Tyhearia Carroll
Addiction (Substance Use Disorder) Counselor in Philadelphia, Pennsylvania
NPI 1538937800

Tyhearia Carroll is an Addiction (Substance Use Disorder) Counselor based in Philadelphia, PA and is specialized in Addiction (Substance Use Disorder). Tyhearia Carroll practices in Philadelphia, PA. The NPI Number for Tyhearia Carroll is 1538937800 and holds a License No. 11340 (Pennsylvania).

The current practice location address for Tyhearia Carroll is 5501 Old York Rd Ste 1, Philadelphia, PA and can be reached out via phone at 215-456-6666.

Location: 5501 Old York Rd Ste 1, Philadelphia, PA, 19121-1813
person
Provider Profile Details
NPI Number
1538937800
Provider Name
Tyhearia Carroll
Credential
Provider Entity Type
Individual
Gender
Female
Address
5501 Old York Rd Ste 1, Philadelphia, PA, 19121-1813
Phone Number
215-456-6666
Fax Number
Provider Enumeration Date
12/18/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5501 Old York Rd Ste 1
City
State
Zip
19141-3098
Phone Number
215-456-6666
Fax Number
person
Provider Business Mailing Address Details
Address
5501 Old York Rd Ste 1
City
State
Zip
19141-3098
Phone Number
215-456-6666
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
11340 (Pennsylvania)
Definition
Definition to come...
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