MEDICARE: LYLITH ROZE TYSON

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
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1588486781
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LYLITH ROZE TYSON

Provider Business Mailing Address
First Line	:	3198 FAIR AVE
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43213-2708
Country	:	US
Telephone Number	:	614-632-4051
Fax Number	:

Provider Business Practice Location Address
First Line	:	3198 FAIR AVE
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43213-2708
Country	:	US
Telephone Number	:	614-632-4051
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/29/2024
Last Update Date	:	10/29/2024

Similar Medicare Providers

1386377885 — DENZEL L. JOHNSON
Practice Location Address:

3196 FAIR AVE
COLUMBUS, OH
43213-2708

Practice Phone: 740-251-3644
Practice Fax:

1790204089 — MS. PEGGY SIMONS
Practice Location Address:

1484 STRIEBEL RD
COLUMBUS, OH
43227-2708

Practice Phone: 614-218-3925
Practice Fax:

1447105895 — KHARMAINE JAMAR
Practice Location Address:

4040 E BROAD ST
COLUMBUS, OH
43213-1156

Practice Phone: 614-705-2767
Practice Fax:

1457617235 — MOUNT CARMEL HEALTH SYSTEM
Practice Location Address:

6001 E BROAD ST
COLUMBUS, OH
43213-1502

Practice Phone: 614-234-6000
Practice Fax:

1528662491 — MOUNT CARMEL URGENT CARE
Practice Location Address:

6599 E BROAD ST
COLUMBUS, OH
43213-1509

Practice Phone: 614-355-8150
Practice Fax:

1073615456 — MOUNT CARMEL HEALTH SYSTEM
Practice Location Address:

150 TAYLOR STATION RD STE 200
COLUMBUS, OH
43213-4470

Practice Phone: 614-627-1305
Practice Fax:

Directions to “ LYLITH ROZE TYSON ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.