TYHEARIA CARROLL
NPI 1538937800
Counselor - Addiction (Substance Use Disorder) in Philadelphia, PA
About Tyhearia Carroll NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TYHEARIA CARROLL (NPI 1538937800) is an individual addiction (substance use disorder) provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (11340) and active in the NPI registry since December 2023.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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.
PHILADELPHIA, PA 19141
PHILADELPHIA, PA 19141
PHILADELPHIA, PA 19141
PHILADELPHIA, PA 19141
PHILADELPHIA, PA 19141
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 Tyhearia Carroll's NPI number?
The NPI number for Tyhearia Carroll is 1538937800. It was assigned to this individual provider in the NPPES registry on December 18, 2023. The provider is also known as Mrs. Tyhearia Carroll-Miller.
Where is Tyhearia Carroll located?
Tyhearia Carroll practices at 5501 Old York Rd Ste 1, Philadelphia, PA 19141. The listed phone number is (215) 456-6666.
What is Tyhearia Carroll'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 Tyhearia Carroll was last updated on December 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Tyhearia Carroll · NPI 1538937800
Addiction (Substance Use Disorder) provider in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since December 18, 2023.
## Identity
- **NPI:** 1538937800 (Entity type: Individual)
- **Enumerated:** December 18, 2023
- **Primary specialty:** Counselor - Addiction (Substance Use Disorder) · taxonomy 101YA0400X
- **State license:** 11340 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 5501 OLD YORK RD STE 1, Philadelphia, PA 19141-3098
- **Phone:** (215) 456-6666
## Record status
- **NPPES last updated:** December 18, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1538937800) · Data from the CMS NPPES public registry.