Healthcare Provider Details

I. General information

NPI: 1760009815
Provider Name (Legal Business Name): TYESE LORRAINE AUNGST CADC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/05/2020
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2571 BAGLYOS CIR STE B29
BETHLEHEM PA
18020-8050
US

IV. Provider business mailing address

2571 BAGLYOS CIR STE B29
BETHLEHEM PA
18020-8050
US

V. Phone/Fax

Practice location:
  • Phone: 484-353-4076
  • Fax:
Mailing address:
  • Phone: 484-353-4076
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberPC020699
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: