Individual provider · Type 1 NPI

Tyson Rae Flora, MA LMHC

Mental Health Counselor · Fort Wayne, IN

NPI number 1083709554 Active

Practice location

6202 Constitution Dr Ste D
Fort Wayne, IN 46804-1583

Call (260) 432-0066 Map

Fax (260) 432-8503

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X39001576A (IN)

Mental Health Counselor: Definition to come...

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About NPI 1083709554

Tyson Rae Flora, MA LMHC's National Provider Identifier is 1083709554, issued on Oct 3, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fort Wayne, IN. The record was last updated on Jun 10, 2009.