Tyson, George Richard

Tyson, George Richard is an individual health care provider with primary practice located at 2121A Bellevue Rd , Dublin GA 31021-2998. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Tyson, George Richard can be contacted via phone (478) 272-1190.

Contact Information

Primary practice address
2121A Bellevue Rd Dublin GA 31021-2998
Phone: (478) 272-1190
Fax: (478) 272-6509
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC001176 Georgia
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MFT000464 Georgia

Profile Details

NPI number 1437134871
LBN Legal business name Tyson, George Richard
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 8th, 2005
Last updated Jul 8th, 2007 - about 19 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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