Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. TYRA BENNETT, LMFT #111017
Deactivated Sole ProprietorMRS. TYRA BENNETT, LMFT #111017 is a Marriage & Family Therapist healthcare provider located in LAFAYETTE, California. NPI 1235576794 is deactivated in the NPPES registry. Verify at CMS.
Marriage & Family Therapist · LAFAYETTE, CA
This NPI has been deactivated.
The record was deactivated on February 5, 2014.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1235576794
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 23, 2013 (0.70684931506849 yrs)
- Last Updated
- May 9, 2023
- Deactivated
- Feb 5, 2014
- License
-
111017 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3559 MT DIABLO BLVD UNIT 190LAFAYETTE, CA, 945493876Browse CA providers · Browse ZIP 94549
- Phone
- 9099615128
- Primary Specialty
-
Marriage & Family Therapist
106H00000X
Other Marriage & Family Therapist Providers in LAFAYETTE, CA
| Name | Credential | NPI |
|---|---|---|
| MS. MARY KATHERINE THRELKEL | MFT | 1881610772 |
| JODY HELENE BOVE | MFC | 1861509770 |
| MS. AVIS RUMNEY | MFT | 1578673711 |
| MS. KATHLEEN M ANDREE-RISSEL | M.A. | 1912018961 |
| JOHN DAVID MASON | MFT | 1295837276 |
| MS. SUE MAYO | MFT | 1922101997 |
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.