Tyra Wade
Tyra Wade is a Mental Health Counselor in Jackson, Mississippi. Registered with an NPI since 2007.
- In the registry since
- 2007
- Specialties on file
- 2
Practice location Address checks out
4780 I 55 N Ste 105Jackson, MS 39211-5542
Phone: (601) 956-4816
Fax: (601) 956-4817
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X |
|---|---|
| Mental Health Counselor | Taxonomy 101YM0800X |
Record details
| NPI number | 1477735769 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | November 29, 2007 |
| Last updated in NPPES | March 10, 2022 |
| Certification date | March 10, 2022 |
| Mailing address | 4780 I 55 N Ste 105, Jackson, MS 39211-5542 |
Other providers in Jackson
-
Adrian Vanburen-Travis, PCMHT
3450 Highway 80 W, Jackson, MS 39209-7201 · (601) 321-2497
-
Mary Vaughn
4780 I 55 N Ste 105, Jackson, MS 39211-5542 · (601) 956-4816
-
Millicent Vaughn
3450 Highway 80 W, Jackson, MS 39209-7201 · (601) 321-2400
-
Tiffany Wade
4780 I 55 N Ste 105, Jackson, MS 39211-5542 · (601) 956-4816
-
MS. Delesia S Walker
860 E River Pl Ste 100, Jackson, MS 39202-3442 · (769) 251-5550
-
Maricus Walker, PCMHT
3450 Highway 80 W, Jackson, MS 39209-7201 · (601) 321-2400
-
Tenelle Elaine Walker
460 Briarwood Dr Ste 510, Jackson, MS 39206-3057 · (601) 956-4816
-
Mr. Chrisitan Ware
1465 Lakeland Dr, Jackson, MS 39216-4719 · (601) 352-7784