Provider Demographics
NPI:1477150209
Name:WILLIAMS, TYRA LASHAUNDA (LMFTA/LCMHCA)
Entity Type:Individual
Prefix:
First Name:TYRA
Middle Name:LASHAUNDA
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:LMFTA/LCMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:70 CHARLESTON CT UNIT 3
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28792-4942
Mailing Address - Country:US
Mailing Address - Phone:352-578-5192
Mailing Address - Fax:
Practice Address - Street 1:233 S FRENCH BROAD AVE
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-3901
Practice Address - Country:US
Practice Address - Phone:828-254-0749
Practice Address - Fax:828-254-0762
Is Sole Proprietor?:No
Enumeration Date:2020-10-05
Last Update Date:2020-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA14948101YP2500X
NC12225A106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional