Matthew Tyra, LPC | |
33 Varden Dr, Aiken, SC 29803-5285 | |
(803) 642-3980 | |
Not Available |
Full Name | Matthew Tyra |
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Gender | Male |
Speciality | Counselor - Mental Health |
Location | 33 Varden Dr, Aiken, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063085462 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 7878 (South Carolina) | Primary |
Entity Name | Aiken Psychiatric And Psychotherapy Associates Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114995099 PECOS PAC ID: 1254378128 Enrollment ID: O20050412000920 |
Mailing Address | Practice Location Address |
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Matthew Tyra, LPC 33 Varden Dr, Aiken, SC 29803-5285 Ph: (803) 642-3980 | Matthew Tyra, LPC 33 Varden Dr, Aiken, SC 29803-5285 Ph: (803) 642-3980 |
Katrina Green, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1135 Gregg Hwy Nw, Aiken, SC 29801 Phone: 803-641-7700 | |
Darby A Royal, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1135 Gregg Hwy Nw, Aiken, SC 29801 Phone: 803-641-7700 | |
Gabrielle Torres, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1135 Gregg Hwy, Aiken, SC 29801 Phone: 803-641-7700 | |
Samantha Tierra Gray, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1135 Gregg Hwy Nw, Aiken, SC 29801 Phone: 803-641-7700 | |
Christy Ann Austin, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 156 Charleston Row Blvd, Aiken, SC 29803 Phone: 419-376-6291 | |
Jennifer Reed Minichan, M.S., ED.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1000 Brookhaven Dr, Aiken, SC 29803 Phone: 803-641-2624 |