Wade, Lee Tyson

Wade, Lee Tyson is an sole proprietor health care provider with primary practice located at 1205 Baytree Road #8, Valdosta GA 31602. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Wade, Lee Tyson can be contacted via phone (229) 244-5533.

Contact Information

Primary practice address
1205 Baytree Road #8 Valdosta GA 31602
Phone: (229) 244-5533
Fax: (229) 253-9066
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Professional 101YP2500X

Profile Details

NPI number 1174887483
LBN Legal business name Wade, Lee Tyson
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 2nd, 2012
Last updated Jul 2nd, 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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