Individual
JOY LYNN TYREE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5653 FRIST BLVD, SUITE 740, HERMITAGE, TN 37076-2062
(615) 865-3090
Mailing address
459 JANETTE AVE, GOODLETTSVILLE, TN 37072-2712
(615) 865-3090
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4829
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1516464
—
TN
Enumeration date
01/11/2008
Last updated
01/05/2012
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