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TYRA ADALE WILSON
NPI 1790636306
Counselor - Mental Health in Philadelphia, PA

Active since February 09, 2026
231 W JOHNSON ST APT 204, PHILADELPHIA, PA 19144(215) 478-5549(215) 478-5549 Get Directions Write a Review

NPPES record last updated: February 9, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tyra Adale Wilson NPPES

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

TYRA ADALE WILSON (NPI 1790636306) is an individual mental health provider in Philadelphia, Pennsylvania and active in the NPI registry since February 2026. She maintains a secondary practice location in Erdenheim.

NPPES Registry Identity

NPI1790636306
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameTYRA ADALE WILSON
Location Address231 W JOHNSON ST APT 204Philadelphia, PA 19144-2556
Mailing Address231 W Johnson St Apt 204Philadelphia, PA 19144-2556 · (215) 478-5549 · Fax (215) 478-5549
Phone(215) 478-5549
Fax(215) 478-5549
Sole ProprietorYes
Enumeration DateFebruary 9, 2026
NPPES CertifiedFebruary 9, 2026
✔ NPI 1790636306 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
231 W JOHNSON ST APT 204, Philadelphia, PA 19144
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Secondary Practice Location 1

Location 1717 Bethlehem Pike Ste 310Erdenheim, PA 19038-8120 · Phone (267) 331-3178

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Wilson's NPI number?

The NPI number for Tyra Wilson is 1790636306. It was assigned to this individual provider in the NPPES registry on February 9, 2026.

Where is Tyra Wilson located?

Tyra Wilson practices at 231 W Johnson St Apt 204, Philadelphia, PA 19144. The listed phone number is (215) 478-5549.

What is Tyra Wilson'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 Tyra Wilson was last updated on February 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.