Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kelly Segraves Tyson, MS

Individual provider Mental Health Counselor · NPI 1164769261

Kelly Segraves Tyson, MS is a Mental Health Counselor in Grovetown, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2013
What do these letters mean?
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

3913 Griese Ln
Grovetown, GA 30813-8301
Phone: (706) 877-1011
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence APC003687 (GA)

Record details

NPI number1164769261
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS
Sole proprietorYes
NPI enumeratedJanuary 9, 2013
Last updated in NPPESApril 30, 2015

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