Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY SEGRAVES TYSON, M.S.
Active Sole ProprietorKELLY SEGRAVES TYSON, M.S. is a Mental Health Counselor healthcare provider located in GROVETOWN, Georgia. NPI 1164769261 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · GROVETOWN, GA
Registration Details
- NPI Number
- 1164769261
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 9, 2013 (13.571322663265 yrs)
- Last Updated
- Apr 30, 2015
- License
-
APC003687 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3913 GRIESE LNGROVETOWN, GA, 308138301Browse GA providers · Browse ZIP 30813
- Phone
- 7068771011
- Primary Specialty
-
Mental Health Counselor
101YM0800X
Other Mental Health Counselor Providers in GROVETOWN, GA
| Name | Credential | NPI |
|---|---|---|
| JESSICA SINGLETON | — | 1245576800 |
| KIMBLEE WHITE | MS/ST | 1164913356 |
| AMRINDER KAUR | LPC | 1013507185 |
| SHONTANAE IMANI GREEN | MS, LPC, NCC | 1134885411 |
| MRS. ALYSSA ERINN LYNN JOHNSON | LPC | 1932814969 |
| RASTASSIA ARMSTRONG | — | 1518655281 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.