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

Tyra Adale Wilson

Individual provider Mental Health Counselor · NPI 1790636306

Tyra Adale Wilson is a Mental Health Counselor in Philadelphia, Pennsylvania. Practices as a sole proprietor and works from 2 locations. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

231 W Johnson St Apt 204
Philadelphia, PA 19144-2556
Phone: (215) 478-5549
Fax: (215) 478-5549
Show map & directions

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

Additional practice locations (1)

  • 717 Bethlehem Pike Ste 310, Erdenheim, PA 19038-8120 — (267) 331-3178

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1790636306
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 9, 2026
Last updated in NPPESFebruary 9, 2026
Certification dateFebruary 9, 2026

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