Organization
TYRA WATTS CONSULTING, LLC
Active
Other names
Tyra Watts Vocational Consulting, Myndnasium Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TYRA WATTS PH.D (OWNER)
(901) 921-6566
Entity
Organization
Contact information
Practice address
5080 LE CHATEAU CV, MEMPHIS, TN 38125-3912
(901) 921-6566
(888) 551-0262
Mailing address
5080 LE CHATEAU CV, MEMPHIS, TN 38125-3912
(901) 921-6566
(888) 551-0262
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q08224
—
TN
Enumeration date
04/10/2023
Last updated
12/04/2024
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