Individual provider · Type 1 NPI

Tyra Davenport

Professional Counselor · Greensboro, NC

NPI number 1740567759 Active

Practice location

4004 N Church St
Greensboro, NC 27455-2624

Call (336) 686-3226 Map

Mailing address

PO Box 29221
Greensboro, NC 27429-9221

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000X8781 (NC)
Mental Health Counselor 101YM0800X8781 (NC)
Professional Counselor Primary 101YP2500X8781 (NC)

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About NPI 1740567759

Tyra Davenport's National Provider Identifier is 1740567759, issued on Nov 4, 2011. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Greensboro, NC. The record was last updated on Nov 4, 2011.