Larry, Tanya

Larry, Tanya is an individual health care provider with primary practice located at 2627 Ridgewood Rd Ste 103, Jackson MS 39216-4904. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Larry, Tanya can be contacted via phone (601) 942-1884.

Contact Information

Primary practice address
2627 Ridgewood Rd Ste 103 Jackson MS 39216-4904
Phone: (601) 942-1884
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X T0442 Mississippi

Profile Details

NPI number 1528590957
LBN Legal business name Larry, Tanya
Credentials LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2017
Last updated Apr 3rd, 2017 - about 8 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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