Provider Demographics
NPI:1184866774
Name:SILVERS, TYRA LEE (LPC)
Entity Type:Individual
Prefix:MRS
First Name:TYRA
Middle Name:LEE
Last Name:SILVERS
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 1:35 MOUNTAINEER LN
Mailing Address - Street 2:
Mailing Address - City:BURNSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28714-7835
Mailing Address - Country:US
Mailing Address - Phone:828-682-3641
Mailing Address - Fax:
Practice Address - Street 1:35 MOUNTAINEER LN
Practice Address - Street 2:
Practice Address - City:BURNSVILLE
Practice Address - State:NC
Practice Address - Zip Code:28714-7835
Practice Address - Country:US
Practice Address - Phone:828-682-3641
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-30
Last Update Date:2009-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7348101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional