| Tyera Nicole Godfrey, | |
|
12 Perkins Ave, Malden, MA 02148-7502 | |
| (781) 630-3254 | |
| Not Available |
| Full Name | Tyera Nicole Godfrey |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 12 Perkins Ave, Malden, Massachusetts |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871083246 | NPI | - | NPPES |
| 6584664000 | Medicaid | MA | |
| 1125488448 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Tyera Nicole Godfrey, 11 Bay State Ave, Tewksbury, MA 01876-3305 Ph: () - | Tyera Nicole Godfrey, 12 Perkins Ave, Malden, MA 02148-7502 Ph: (781) 630-3254 |
Ms. Maryann Touchette, Counselor Medicare: Not Enrolled in Medicare Practice Location: 50 Bishop Rd, Malden, MA 02148 Phone: 978-479-5428 | |
Samuel A Esquivel, Counselor Medicare: Not Enrolled in Medicare Practice Location: 730 Eastern Ave, Malden, MA 02148 Phone: 781-861-0890 | |
Lorraine Sin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 162 Pearl St Apt 3, Malden, MA 02148 Phone: 781-708-2231 | |
Mr. Brennan Rugg, Counselor Medicare: Not Enrolled in Medicare Practice Location: 730 Eastern Ave, Malden, MA 02148 Phone: 781-861-0890 | |
Sasha Feliciano, FAMILY PARTNER Counselor Medicare: Not Enrolled in Medicare Practice Location: 730 Eastern Ave, Malden, MA 02148 Phone: 617-418-9307 | |
Miss Jenny Brunot, Counselor Medicare: Not Enrolled in Medicare Practice Location: 12 Pearl Ct, Malden, MA 02148 Phone: 857-334-4540 | |
Samantha Martin, MA, MT-BC Counselor Medicare: Not Enrolled in Medicare Practice Location: 730 Eastern Ave, Malden, MA 02148 Phone: 508-635-7622 |