Tyson Rae Flora, MA LMHC
Counselor, Mental Health in Fort Wayne, IN. Individual provider (NPI-1).
NPI number1083709554
StatusActive
Last updated in NPPESJun 10, 2009
Details
- NPI
- 1083709554
- Entity type
- Individual (NPI-1)
- Name
- Tyson Rae Flora
- Credential
- MA LMHC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 3, 2006
- Last updated
- Jun 10, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 39001576A | IN | Yes |
Practice location
6202 Constitution Dr Ste DFort Wayne, IN 46804-1583
Phone 260-432-0066 · Fax 260-432-8503
Mailing address
6202 Constitution Dr Ste DLifeworks Counseling & Consulting, INC.
Fort Wayne, IN 46804-1583
Phone 260-432-0066 · Fax 260-432-8503
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