Active NPIIndividual providerSole proprietor

Tyera N Godfrey

Counselor, Mental Health in Malden, Massachusetts

NPI Number1871083246
Practice location
12 Perkins Ave, Malden, MA 02148-7502
Fax
—
Last updated
June 16, 2018

Tyera Nicole Godfrey is a Counselor, Mental Health based in Malden, MA. Tyera Nicole Godfrey practices in Malden, MA. The NPI Number for Tyera Nicole Godfrey is 1871083246. The current practice location address for Tyera Nicole Godfrey is 12 Perkins Ave, Malden, MA 02148-7502 and can be reached out via phone at 781-630-3254.

Provider Profile Details

NPI Number
1871083246
Provider Name
Tyera Nicole Godfrey
Provider Entity Type
Individual
Gender
Female
Address
12 Perkins Ave, Malden, MA 02148-7502
Phone Number
781-630-3254
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
Yes
Provider Enumeration Date
May 11, 2018
Last Update Date
June 16, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
12 Perkins Ave
Malden, MA 02148-7502
City
Malden
Zip
02148-7502
Phone Number
781-630-3254
Malden, MA 02148Get directions →

Provider Business Mailing Address Details

Address
11 Bay State Ave
Tewksbury, MA 01876-3305
City
Tewksbury
State
MA
Zip
01876-3305

License Information

Taxonomy
Counselor, Mental Health · 101YM0800X · 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 Tyera N Godfrey?

The NPI number of Tyera N Godfrey is 1871083246. It was assigned on May 11, 2018 and is currently active in the NPPES registry.

What is the specialty of Tyera N Godfrey?

Tyera N Godfrey is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X).

Where does Tyera N Godfrey practice?

The practice location is 12 Perkins Ave, Malden, MA 02148-7502. The office can be reached at 781-630-3254 (phone).

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 1871083246 directly on the NPPES registry website.

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