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TYSON RAE FLORA MA LMHC
NPI 1083709554
Counselor - Mental Health in Fort Wayne, IN

Active since October 03, 2006
6202 CONSTITUTION DR STE D, FORT WAYNE, IN 46804(260) 432-0066(260) 432-8503 Get Directions Write a Review

NPPES record last updated: June 10, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Tyson Rae Flora Ma Lmhc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TYSON RAE FLORA MA LMHC (NPI 1083709554) is an individual mental health provider in Fort Wayne, Indiana, licensed in Indiana (39001576A) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1083709554
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameTYSON RAE FLORACredential: MA LMHC
Location Address6202 CONSTITUTION DR STE DFort Wayne, IN 46804-1583
Mailing Address6202 Constitution Dr Ste D, Lifeworks Counseling & Consulting, Inc.Fort Wayne, IN 46804-1583 · (260) 432-0066 · Fax (260) 432-8503
Phone(260) 432-0066
Fax(260) 432-8503
Sole ProprietorNo
Enumeration DateOctober 3, 2006
Last NPPES UpdateJune 10, 2009
✔ NPI 1083709554 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in IN · 39001576A
6202 CONSTITUTION DR STE D, Fort Wayne, IN 46804
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Other Identifiers 2

Medicaid200912670AIN
Other39001576AIN · License Number

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAKETA SHA-RON JACKSON MFT
Marriage & Family Therapist
6202 CONSTITUTION DR STE D
FORT WAYNE, IN 46804
Allen County (260) 432-0066
DR. JAMES E BURG LMFT, LMHC, PHD
Counselor (Mental Health)
6202 CONSTITUTION DR STE D
FORT WAYNE, IN 46804
Allen County (260) 432-0066
MACKENZIE DECHAND MA
Counselor (Mental Health)
6202 CONSTITUTION DR STE D
FORT WAYNE, IN 46804
Allen County (260) 432-0066
SHARON S MILEY LMFT
Marriage & Family Therapist
6202 CONSTITUTION DR STE D
FORT WAYNE, IN 46804
Allen County (260) 432-0066
LIFEWORKS COUNSELING & CONSULTING, INC.
Counselor (Professional)
6202 CONSTITUTION DR STE D
FORT WAYNE, IN 46804
Allen County (260) 432-0066
MR. LON P JOHNSON MA
Marriage & Family Therapist
6202 CONSTITUTION DR STE D
FORT WAYNE, IN 46804
Allen County (260) 432-0066
KASEY M BOURKE MSW, LCSW
Social Worker (Clinical)
6202 CONSTITUTION DR STE D
FORT WAYNE, IN 46804
Allen County (260) 432-0066
DOUGLAS FREEMAN KELLENBERGER MA, LMHC
Counselor (Mental Health)
6202 CONSTITUTION DR STE D
FORT WAYNE, IN 46804
Allen County (260) 432-0066

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tyson Flora's NPI number?

The NPI number for Tyson Flora is 1083709554. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Where is Tyson Flora located?

Tyson Flora practices at 6202 Constitution Dr Ste D, Fort Wayne, IN 46804. The listed phone number is (260) 432-0066.

What is Tyson Flora's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Tyson Flora was last updated on June 10, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.