Individual
TYRA TATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
16520 NW 17TH CT, OPA LOCKA, FL 33054-6606
(305) 209-6090
Mailing address
16520 NW 17TH CT, OPA LOCKA, FL 33054-6606
(305) 209-6090
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MT4272
FL
Other
Enumeration date
11/14/2022
Last updated
11/14/2022
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