Individual
TYNA L BAUGESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CAP
Contact information
Practice address
3157 N ALAFAYA TRL, ORLANDO, FL 32826-2940
(407) 215-0095
(407) 261-0523
Mailing address
1766 SOPHIAS DR APT 202, MELBOURNE, FL 32940-6211
(614) 271-3474
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
5629
FL
101YA0400X
Addiction (Substance Use Disorder) Counselor
081148
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1033455662
—
FL
Enumeration date
01/01/2013
Last updated
03/14/2016
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