Tyson, Jasmine A

Tyson, Jasmine A is an sole proprietor health care provider with primary practice located at 11555 Medlock Bridge Rd Ste 100 , Duluth GA 30097-3200. She recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as her primary health care specialty. Tyson, Jasmine A can be contacted via phone (678) 263-0433.

Contact Information

Primary practice address
11555 Medlock Bridge Rd Ste 100 Duluth GA 30097-3200
Phone: (678) 263-0433
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X

Profile Details

NPI number 1790359859
LBN Legal business name Tyson, Jasmine A
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 13th, 2021
Last updated May 13th, 2021 - 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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