Individual provider · Type 1 NPI

Tykeria Lorelle Cowart

Mental Health Counselor · Tigard, OR

NPI number 1003652736 Active

Practice location

11740 SW 68th Pkwy Ste 200
Tigard, OR 97223-9058

Mailing address

5441 S Macadam Ave Ste R
Portland, OR 97239-3822

Other practice locations

  • 404 Corder Rd Ste 300, Warner Robins, GA 31088-7195 · (478) 449-1475

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XR9072 (OR)
Mental Health Counselor 101YM0800X010510 (GA)

Mental Health Counselor: Definition to come...

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About NPI 1003652736

Tykeria Lorelle Cowart's National Provider Identifier is 1003652736, issued on Jul 2, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Tigard, OR. The record was last updated on Jun 9, 2026.