Provider Demographics
NPI:1245724517
Name:TYREE, SARAH (MSW, CLC)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:TYREE
Suffix:
Gender:F
Credentials:MSW, CLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4805 W ARDMORE RD
Mailing Address - Street 2:
Mailing Address - City:LAVEEN
Mailing Address - State:AZ
Mailing Address - Zip Code:85339-2124
Mailing Address - Country:US
Mailing Address - Phone:928-351-7782
Mailing Address - Fax:
Practice Address - Street 1:14231 N 7TH ST
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85022-4360
Practice Address - Country:US
Practice Address - Phone:602-675-0751
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-19
Last Update Date:2022-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker