1023752870 NPI number — LAVELLE TYSON MAMFT, ED.S., LPC

Table of content: LAVELLE TYSON MAMFT, ED.S., LPC (NPI 1023752870)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1023752870 NPI number — LAVELLE TYSON MAMFT, ED.S., LPC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
TYSON
Provider First Name:
LAVELLE
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MAMFT, ED.S., LPC
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1023752870
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/19/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
117 PLAZA CIR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ALABASTER
Provider Business Mailing Address State Name:
AL
Provider Business Mailing Address Postal Code:
35007-7018
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
205-624-2633
Provider Business Mailing Address Fax Number:
205-664-2306

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2603 DECATUR HWY STE 201
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
GARDENDALE
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
35071-2187
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
205-374-8904
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/26/2022

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YM0800X , with the licence number:  LPC05027 , registered in the state of AL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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