Active NPIIndividual provider

Tyra Wilson

Counselor, Mental Health in Sicklerville, New Jersey

NPI Number1891302022
Practice location
404 Independence Blvd, Sicklerville, NJ 08081-1094
Fax
—
Last updated
October 1, 2020

Tyra Wilson is a Counselor, Mental Health based in Sicklerville, NJ. Tyra Wilson practices in Sicklerville, NJ. The NPI Number for Tyra Wilson is 1891302022. The current practice location address for Tyra Wilson is 404 Independence Blvd, Sicklerville, NJ 08081-1094 and can be reached out via phone at 856-861-5448.

Provider Profile Details

NPI Number
1891302022
Provider Name
Tyra Wilson
Provider Entity Type
Individual
Gender
Female
Address
404 Independence Blvd, Sicklerville, NJ 08081-1094
Phone Number
856-861-5448
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
No
Provider Enumeration Date
October 1, 2020
Last Update Date
October 1, 2020
Certification Date
October 1, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
404 Independence Blvd
Sicklerville, NJ 08081-1094
Zip
08081-1094
Phone Number
856-861-5448
Sicklerville, NJ 08081Get directions →

Provider Business Mailing Address Details

Address
404 Independence Blvd
Sicklerville, NJ 08081-1094
City
Sicklerville
State
NJ
Zip
08081-1094
Phone Number
856-861-5448

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 Tyra Wilson?

The NPI number of Tyra Wilson is 1891302022. It was assigned on October 1, 2020 and is currently active in the NPPES registry.

What is the specialty of Tyra Wilson?

Tyra Wilson is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X).

Where does Tyra Wilson practice?

The practice location is 404 Independence Blvd, Sicklerville, NJ 08081-1094. The office can be reached at 856-861-5448 (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 1891302022 directly on the NPPES registry website.

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