Individual
TYLORE SHEIGH GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLMHP
Contact information
Practice address
10791 S 72ND ST STE 101, PAPILLION, NE 68046-3403
(402) 403-9628
Mailing address
9029 BURT ST APT 110, OMAHA, NE 68114-2435
(402) 670-8929
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
13295
NE
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
02/07/2023
Last updated
02/07/2023
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