Provider Demographics
NPI:1003529199
Name:GYORKEY, TAYA MARCELL (LMFT)
Entity Type:Individual
Prefix:MS
First Name:TAYA
Middle Name:MARCELL
Last Name:GYORKEY
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:MS
Other - First Name:TOLLEA
Other - Middle Name:MARCELL
Other - Last Name:HOWARD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN
Mailing Address - Street 1:PO BOX 49362
Mailing Address - Street 2:
Mailing Address - City:COOKEVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38506-0362
Mailing Address - Country:US
Mailing Address - Phone:530-520-3770
Mailing Address - Fax:
Practice Address - Street 1:1835 PARAN RD
Practice Address - Street 2:
Practice Address - City:COOKEVILLE
Practice Address - State:TN
Practice Address - Zip Code:38506-7282
Practice Address - Country:US
Practice Address - Phone:530-520-3770
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-04
Last Update Date:2023-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA44763106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1316347412OtherNPI COUNSELING WITH TAYA