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TYRA SHAVON TATE
NPI 1104638808
Counselor - Addiction (Substance Use Disorder) in Ceres, CA

Active since January 21, 2025
1904 RICHLAND AVE, CERES, CA 95307(209) 541-7441(209) 541-2114 Get Directions Write a Review

NPPES record last updated: January 21, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tyra Shavon Tate NPPES

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

TYRA SHAVON TATE (NPI 1104638808) is an individual addiction (substance use disorder) provider in Ceres, California, licensed in California (20152) and active in the NPI registry since January 2025.

NPPES Registry Identity

NPI1104638808
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameTYRA SHAVON TATE
Location Address1904 RICHLAND AVECeres, CA 95307-4562
Mailing Address1904 Richland AveCeres, CA 95307-4562 · (209) 541-7441 · Fax (209) 541-2114
Phone(209) 541-7441
Fax(209) 541-2114
Sole ProprietorNo
Enumeration DateJanuary 21, 2025
NPPES CertifiedJanuary 21, 2025
✔ NPI 1104638808 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in CA · 20152
1904 RICHLAND AVE, Ceres, CA 95307
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Other Providers at the Same Location NPPES 20

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

JULIA ROSE GARDEA
Technician
1904 RICHLAND AVE
CERES, CA 95307
Stanislaus County (209) 541-2121
ALYSSA WELLS LMFT
Marriage & Family Therapist
1904 RICHLAND AVE
CERES, CA 95307
Stanislaus County (209) 558-4600
GHAZIA HASSAN
Counselor (Professional)
1904 RICHLAND AVE
CERES, CA 95307
Stanislaus County (209) 525-7472
TELECARE CORPORATION
Psychiatric Hospital
1904 RICHLAND AVE
CERES, CA 95307
Stanislaus County (510) 337-7950
CONSTANCE MCDONALD
Counselor (Mental Health)
1904 RICHLAND AVE
CERES, CA 95307
Stanislaus County (209) 300-8800
ROSEANN REYNOSO CADC-11
Counselor (Addiction (Substance Use Disorder))
1904 RICHLAND AVE
CERES, CA 95307
Stanislaus County (209) 525-7411
MRS. SAQUOIRA CHILES
Social Worker (Clinical)
1904 RICHLAND AVE
CERES, CA 95307
Stanislaus County (209) 300-8800
BHRS
Counselor (Addiction (Substance Use Disorder))
1904 RICHLAND AVE
CERES, CA 95307
Stanislaus County (209) 525-7411

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 Tyra Tate's NPI number?

The NPI number for Tyra Tate is 1104638808. It was assigned to this individual provider in the NPPES registry on January 21, 2025.

Where is Tyra Tate located?

Tyra Tate practices at 1904 Richland Ave, Ceres, CA 95307. The listed phone number is (209) 541-7441.

What is Tyra Tate's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Tyra Tate was last updated on January 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.