Individual
TYLETTE NEWKIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
362 FEATHEREDGE RD, ELGIN, SC 29045-9858
(803) 258-0178
Mailing address
10120 TWO NOTCH RD STE 166, COLUMBIA, SC 29223-4395
(803) 258-0178
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5655
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PC1792
—
SC
Enumeration date
01/30/2012
Last updated
05/26/2025
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