Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Shalante A Tyson, EDS

Individual provider Mental Health Counselor · NPI 1174973614

Shalante A Tyson, EDS is a Mental Health Counselor in Maitland, Florida. Practices as a sole proprietor and works from 3 locations. Licensed in Florida.

Licensed in
FL
In the registry since
2016
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Practice location Address checks out

1009 Maitland Center Commons Blvd Ste 2212
Maitland, FL 32751-7270
Phone: (352) 213-9613
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1408 Nw 6th St, Gainesville, FL 32601-4020 — (352) 373-4411
  • 9645 Baymeadows Rd Apt 637, Jacksonville, FL 32256-7866 — (352) 213-9613

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence IMH15819 (FL)

Record details

NPI number1174973614
Entity typeIndividual (Type 1)
GenderFemale
Credentials EDS
Sole proprietorYes
NPI enumeratedJune 15, 2016
Last updated in NPPESMarch 17, 2018

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