IndividualActive
Anthony Tyre, NCC, LPC-A, LCAS-A
NPI 1295273597 · Mental Health Counselor · Washington, NC
Provider details
- NPI number
- 1295273597
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- NCC, LPC-A, LCAS-A
- Sex
- Male
- Sole proprietor
- Yes
- License
- 23429 (NC)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Practice location
417 N Bridge St
Washington, NC 27889-4827
Phone: (252) 494-2061
Fax: (252) 362-0336
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 441
Aurora, NC 27806-0441
Registry dates
- Enumerated
- 2017-02-07
- Last updated
- 2020-01-13
- Certified
- 2020-01-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.