Provider Demographics
NPI:1073084158
Name:TYSON, APRIL MICHELLE (LPC)
Entity Type:Individual
Prefix:MS
First Name:APRIL
Middle Name:MICHELLE
Last Name:TYSON
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:181 ROSE ST
Mailing Address - Street 2:
Mailing Address - City:GREENBRIER
Mailing Address - State:TN
Mailing Address - Zip Code:37073-5323
Mailing Address - Country:US
Mailing Address - Phone:615-448-5072
Mailing Address - Fax:
Practice Address - Street 1:115 HAZEL PATH STE 2
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:TN
Practice Address - Zip Code:37075-3817
Practice Address - Country:US
Practice Address - Phone:615-448-5072
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-16
Last Update Date:2018-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN4328101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty