Tye Walcott
Professional Counselor
125 Fahm St
Savannah
, Georgia 31401-2391
Tye Walcott
Professional Counselor
125 Fahm St
Savannah
, Georgia 31401-2391
(912) 264-0979
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About
Features
Specialties
- Professional Counselor
Languages spoken
- English
Location
First Address
- Tye Walcott
- 3441 Cypress Mill Rd Suite 102
- Brunswick, GA
- Zip : 31520-2878
- Phone : (912) 264-0979
Second Address
- Tye Walcott
- 125 Fahm St
- Savannah, GA
- Zip : 31401-2391
- Phone : (912) 344-9403
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 101YP2500X | Professional Counselor | LPC006467 | GA |
National Provider Identifier
| NPI | 1003109984 |
|---|---|
| Provider Name | Tye Walcott |
| First Address | Brunswick, GA 31520-2878 |
| Second Address | Savannah, GA 31401-2391 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/05/2011 |
| Last Update Date | 09/10/2012 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.