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Organization
TYRA WATTS CONSULTING, LLC
Active
Organization
TYRA WATTS CONSULTING, LLC
Active
Other names
Tyra Watts Vocational Consulting, Myndnasium Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TYRA WATTS PH.D (OWNER)
(901) 921-6566
Entity
Organization
Contact information
Practice address
5080 LE CHATEAU CV, MEMPHIS, TN 38125-3912
(901) 921-6566
(888) 551-0262
Mailing address
5080 LE CHATEAU CV, MEMPHIS, TN 38125-3912
(901) 921-6566
(888) 551-0262
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q08224
—
TN
Enumeration date
04/10/2023
Last updated
12/04/2024
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