Dorsey, Tyeasia K

Dorsey, Tyeasia K is an sole proprietor health care provider with primary practice located at 201 E Pitt St Ste 103 , Tarboro NC 27886-5137. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Group Psychotherapy. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Dorsey, Tyeasia K can be contacted via phone (252) 378-9940.

Contact Information

Primary practice address
201 E Pitt St Ste 103 Tarboro NC 27886-5137
Phone: (252) 378-9940
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 14234 North Carolina
Behavioral Health & Social Service Providers / Group Psychotherapy 103TP2701X 21899 North Carolina
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 21899 North Carolina

Profile Details

NPI number 1316599160
LBN Legal business name Dorsey, Tyeasia K
Credentials CSAC, LCAS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 11th, 2019
Last updated Feb 26th, 2023 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1316599160 NPPES
North Carolina MEDICAID 00586698

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