Organization
FORMATIONS HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TEKESHA M TYSON (CEO OF FORMATIONS HEALTH)
(443) 846-9239
Entity
Organization
Contact information
Practice address
710 N HAMMONDS FERRY RD, LINTHICUM HEIGHTS, MD 21090-1313
(410) 636-7057
Mailing address
710 N HAMMONDS FERRY RD, LINTHICUM HEIGHTS, MD 21090-1313
(410) 636-7057
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
04/16/2024
Last updated
04/16/2024
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