Ferguson, Tyra Lakia
Ferguson, Tyra Lakia is an individual health care provider with primary practice located at 651 W Warren Ave Ste 100 , Longwood FL 32750-4036. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Ferguson, Tyra Lakia can be contacted via phone (786) 306-0177.Contact Information
Primary practice address
651 W Warren Ave Ste 100
Longwood FL 32750-4036
Phone: (786) 306-0177
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X |
Profile Details
| NPI number | 1780379198 |
|---|---|
| LBN Legal business name | Ferguson, Tyra Lakia |
| Credentials | Master of Arts (MA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 11th, 2023 |
| Last updated | Apr 11th, 2023 - about last year |
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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