Childress, Tyrone

Childress, Tyrone is an sole proprietor health care provider with primary practice located at 114 Orchard Lake Rd , Pontiac MI 48341-2244. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Childress, Tyrone can be contacted via phone (248) 858-7766.

Contact Information

Primary practice address
114 Orchard Lake Rd Pontiac MI 48341-2244
Phone: (248) 858-7766
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 6401012248 Michigan

Profile Details

NPI number 1821360926
LBN Legal business name Childress, Tyrone
Credentials MS/MHC, LLPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 3rd, 2012
Last updated Feb 3rd, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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