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Organization

4.1.7 COUNSELING, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANTHONY TYRE LCMHC (DIRECTOR)
(252) 481-1007
Entity
Organization

Contact information

Practice address
417 N BRIDGE ST, WASHINGTON, NC 27889-4827
(252) 481-1007
Mailing address
3231 IDALIA RD, AURORA, NC 27806-9525
(252) 481-1007

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YM0800X
Mental Health Counselor
Primary
101YP2500X
Professional Counselor
104100000X
Social Worker
1041C0700X
Clinical Social Worker
171M00000X
Case Manager/Care Coordinator

Other

Enumeration date
01/06/2026
Last updated
01/08/2026
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