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TYRA WILSON
NPI 1891302022
Counselor - Mental Health in Sicklerville, NJ

Active since October 01, 2020
404 INDEPENDENCE BLVD, SICKLERVILLE, NJ 08081(856) 861-5448 Get Directions Write a Review

NPPES record last updated: October 1, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tyra Wilson NPPES

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

TYRA WILSON (NPI 1891302022) is an individual mental health provider in Sicklerville, New Jersey and active in the NPI registry since October 2020.

NPPES Registry Identity

NPI1891302022
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameTYRA WILSON
Location Address404 INDEPENDENCE BLVDSicklerville, NJ 08081-1094
Mailing Address404 Independence BlvdSicklerville, NJ 08081-1094 · (856) 861-5448
Phone(856) 861-5448
Sole ProprietorNo
Enumeration DateOctober 1, 2020
NPPES CertifiedOctober 1, 2020
✔ NPI 1891302022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
404 INDEPENDENCE BLVD, Sicklerville, NJ 08081
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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.

JACQUELINE THOMAS
Counselor (Mental Health)
404 INDEPENDENCE BLVD
SICKLERVILLE, NJ 08081
Camden County (856) 861-5448
APRIL ANDERSON
Counselor (Mental Health)
404 INDEPENDENCE BLVD
SICKLERVILLE, NJ 08081
Camden County (856) 861-5448
PATRICIA GERMAN
Technician (Personal Care Attendant)
404 INDEPENDENCE BLVD
SICKLERVILLE, NJ 08081
Camden County (856) 861-5448
GIOVON WASHINGTON
Counselor (Mental Health)
404 INDEPENDENCE BLVD
SICKLERVILLE, NJ 08081
Camden County (856) 861-5448
KENNETH SELBY
Counselor (Mental Health)
404 INDEPENDENCE BLVD
SICKLERVILLE, NJ 08081
Camden County (856) 861-5448
TYEKA MORRIS
Counselor (Mental Health)
404 INDEPENDENCE BLVD
SICKLERVILLE, NJ 08081
Camden County (856) 861-5448
SAMIRA DEBERRY
Counselor (Mental Health)
404 INDEPENDENCE BLVD
SICKLERVILLE, NJ 08081
Camden County (856) 861-5448
SEANNA BROWN
Counselor (Mental Health)
404 INDEPENDENCE BLVD
SICKLERVILLE, NJ 08081
Camden County (856) 861-5448

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 1891302022. It was assigned to this individual provider in the NPPES registry on October 1, 2020.

Where is Tyra Wilson located?

Tyra Wilson practices at 404 Independence Blvd, Sicklerville, NJ 08081. The listed phone number is (856) 861-5448.

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 October 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.