Individual provider · Type 1 NPI

Tynesha Ivory, LPC

Professional Counselor · Little Rock, AR

NPI number 1669814745 Active

Practice location

1500 N Mississippi St
Little Rock, AR 72207-5851

Call (501) 217-8600 Map

Mailing address

10618 Breckenridge Dr
Little Rock, AR 72211-1802

Other practice locations

  • 6210 Baseline Rd, Little Rock, AR 72209-4728 · (501) 265-0302
  • 10618 Breckenridge Dr, Little Rock, AR 72211-1802 · (501) 217-8600

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XA2111000 (AR)
Case Manager/Care Coordinator 171M00000XNone listed
Professional Counselor Primary 101YP2500XP2407019 (AR)

Professional Counselor: Definition to come...

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About NPI 1669814745

Tynesha Ivory, LPC's National Provider Identifier is 1669814745, issued on Jul 18, 2013. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Little Rock, AR. The record was last updated on Nov 8, 2024.