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NPI Code Detail

MEDICARE: TY MENTAL HEALTH CONSULTING, PLLC

MEDICARE: TY MENTAL HEALTH CONSULTING, PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1205588845
Entity Type Code : Organization
Provider Name (Legal Business Name) : TY MENTAL HEALTH CONSULTING, PLLC
Provider Business Mailing Address
First Line : 411 HARVEST GROVE DR
Second Line :
City : WAXAHACHIE
State : TX
Zip : 75165-1342
Country : US
Telephone Number : 214-945-2941
Fax Number :
Provider Business Practice Location Address
First Line : 411 HARVEST GROVE DR
Second Line :
City : WAXAHACHIE
State : TX
Zip : 75165-1342
Country : US
Telephone Number : 214-945-2941
Fax Number :
Authorized Official
Title or Position : FOUNDER
Name : DR. TIFFANY YOUNG
Credential : LPC-S
Telephone Number : 214-945-2941
Provider Enumeration Date : 01/25/2022
Last Update Date : 01/25/2022

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Directions to “TY MENTAL HEALTH CONSULTING, PLLC ” Practice Location

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