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

Tyra Wilson

Individual provider Mental Health Counselor · NPI 1891302022

Tyra Wilson is a Mental Health Counselor in Sicklerville, New Jersey. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

404 Independence Blvd
Sicklerville, NJ 08081-1094
Phone: (856) 861-5448
Show map & directions

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

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1891302022
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 1, 2020
Last updated in NPPESOctober 1, 2020
Certification dateOctober 1, 2020
Mailing address404 Independence Blvd, Sicklerville, NJ 08081-1094

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