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

Tyknetra Gunnison

Individual provider Mental Health Counselor · NPI 1699510347

Tyknetra Gunnison is a Mental Health Counselor in Conyers, Georgia. Qualified in 2017, 9 years ago. Practices as a sole proprietor. Licensed in Georgia.

Years since qualifying
9
Licensed in
GA
In the registry since
2024
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1906 Heritage Dr SW
Conyers, GA 30094-6264
Phone: (678) 532-9896
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence LPC014405 (GA)
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1699510347
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 26, 2024
Last updated in NPPESJune 26, 2024
Certification dateJune 25, 2024
Mailing address2890 Highway 212 Sw Ste A-218, Conyers, GA 30094-3363

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

Other providers in Conyers