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

Tyla Davenport

Individual provider Mental Health Counselor · NPI 1114575628

Tyla Davenport is a Mental Health Counselor in Vicksburg, Mississippi. Licensed in Mississippi. Registered with an NPI since 2019.

Licensed in
MS
In the registry since
2019
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Practice location Address checks out

3444 Wisconsin Ave
Vicksburg, MS 39180-5331
Phone: (601) 638-0031
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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 (MS)

Record details

NPI number1114575628
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 28, 2019
Last updated in NPPESAugust 28, 2019
Mailing address3444 Wisconsin Ave, Vicksburg, MS 39180-5331

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