Hicks, Tyra Jameese

Hicks, Tyra Jameese is an sole proprietor health care provider with primary practice located at 410 Walnut St , Petersburg VA 23803-5763. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Hicks, Tyra Jameese can be contacted via phone (804) 835-9959.

Contact Information

Primary practice address
410 Walnut St Petersburg VA 23803-5763
Phone: (804) 835-9959
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1437653649
LBN Legal business name Hicks, Tyra Jameese
Credentials MA, QMHP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 21st, 2018
Last updated Apr 15th, 2020 - about 5 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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