Rowell, Tyra
Rowell, Tyra is an sole proprietor health care provider with primary practice located at 2375 Memphis St Ste 206 , Hernando MS 38632-1757. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Rowell, Tyra can be contacted via phone (662) 268-7594.Contact Information
Primary practice address
2375 Memphis St Ste 206
Hernando MS 38632-1757
Phone: (662) 268-7594
Fax: (662) 391-4209
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 3032 | Mississippi |
Profile Details
| NPI number | 1497419428 |
|---|---|
| LBN Legal business name | Rowell, Tyra |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 26th, 2021 |
| Last updated | Oct 12th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497419428 | NPPES |
| Mississippi | MEDICAID | 200001387 | |
| Mississippi | MEDICAID | 200001126 |
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