Provider Demographics
NPI:1770334963
Name:BROWNING, TYREE (MFT-LP)
Entity type:Individual
Prefix:
First Name:TYREE
Middle Name:
Last Name:BROWNING
Suffix:
Gender:M
Credentials:MFT-LP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:165 VROOM ST APT 5A
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07306-4595
Mailing Address - Country:US
Mailing Address - Phone:929-888-1905
Mailing Address - Fax:
Practice Address - Street 1:1990 LEXINGTON AVE APT 26E
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10035-2918
Practice Address - Country:US
Practice Address - Phone:917-740-9574
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-27
Last Update Date:2024-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYP126231106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist