Childress, Tyrone
Childress, Tyrone is an sole proprietor health care provider with primary practice located at 114 Orchard Lake Rd , Pontiac MI 48341-2244. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Childress, Tyrone can be contacted via phone (248) 858-7766.Contact Information
Primary practice address
114 Orchard Lake Rd
Pontiac MI 48341-2244
Phone: (248) 858-7766
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 6401012248 | Michigan |
Profile Details
| NPI number | 1821360926 |
|---|---|
| LBN Legal business name | Childress, Tyrone |
| Credentials | MS/MHC, LLPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 3rd, 2012 |
| Last updated | Feb 3rd, 2012 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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