Individual
LAVELLE TYSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MAMFT, ED.S., LPC
Contact information
Practice address
2603 DECATUR HWY STE 201, GARDENDALE, AL 35071-2187
(205) 374-8904
Mailing address
117 PLAZA CIR, ALABASTER, AL 35007-7018
(205) 624-2633
(205) 664-2306
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC05027
AL
Other
Enumeration date
04/26/2022
Last updated
10/19/2023
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