Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. TYLISAEA BONNER, LMSW
Active Sole ProprietorMRS. TYLISAEA BONNER, LMSW is a Social Worker healthcare provider located in RYDAL, Georgia. NPI 1396544946 is currently active in the NPPES registry. Verify at CMS.
Social Worker · RYDAL, GA
Registration Details
- NPI Number
- 1396544946
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 7, 2025 (1.4256293419756 yrs)
- Last Updated
- Mar 7, 2025
- License
-
MSW011690 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
156 TALON DE SERYDAL, GA, 30171Browse GA providers · Browse ZIP 30171
- Phone
- 4048517204
- Primary Specialty
-
Social Worker
104100000X
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.