MS. TYRA LAKIA FERGUSON MA
NPI 1780379198
Counselor - Addiction (Substance Use Disorder) in Longwood, FL
Active since April 11, 2023
About Ms. Tyra Lakia Ferguson Ma NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. TYRA LAKIA FERGUSON MA (NPI 1780379198) is an individual addiction (substance use disorder) provider in Longwood, Florida and active in the NPI registry since April 2023.
NPPES Registry Identity
NPI1780379198
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMS. TYRA LAKIA FERGUSONCredential: MA
Location Address651 W WARREN AVE STE 100Longwood, FL 32750-4036
Mailing Address1454 Sunshadow Dr Apt 100Casselberry, FL 32707-9001 · (786) 306-0177
Phone(786) 306-0177
Sole ProprietorNo
Enumeration DateApril 11, 2023
NPPES CertifiedApril 11, 2023
✔ NPI 1780379198 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
651 W WARREN AVE STE 100, Longwood, FL 32750
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Licensed Practical Nurse
651 W WARREN AVE STE 100
LONGWOOD, FL 32750
LONGWOOD, FL 32750
Nurse Practitioner (Psychiatric/Mental Health)
651 W WARREN AVE STE 100
LONGWOOD, FL 32750
LONGWOOD, FL 32750
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1780379198, enumerated as an "individual" on April 11, 2023.
The provider is located at 651 W WARREN AVE STE 100 LONGWOOD, FL 32750 and the phone number is (786) 306-0177.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).
