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Tyra Davenport
Professional Counselor in Greensboro, North Carolina
NPI 1740567759

Tyra Davenport is a Professional Counselor based in Greensboro, NC and is specialized in Professional. Tyra Davenport practices in Greensboro, NC. The NPI Number for Tyra Davenport is 1740567759 and holds a License No. 8781 (North Carolina).

The current practice location address for Tyra Davenport is 4004 N Church St, Greensboro, NC and can be reached out via phone at 336-686-3226.

Location: 4004 N Church St, Greensboro, NC, 27429-9221
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1740567759
Provider Name
Tyra Davenport
Credential
Provider Entity Type
Individual
Gender
Female
Address
4004 N Church St, Greensboro, NC, 27429-9221
Phone Number
336-686-3226
Fax Number
Provider Enumeration Date
11/04/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4004 N Church St
City
Greensboro
State
North Carolina
Zip
27455-2624
Phone Number
336-686-3226
Fax Number
person
Provider Business Mailing Address Details
Address
4004 N Church St
City
Greensboro
State
North Carolina
Zip
27455-2624
Phone Number
336-686-3226
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
8781 (North Carolina)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
8781 (North Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
8781 (North Carolina)
Definition
Definition to come...
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