NPI 1003109984

Tye Walcott, LPC

Practitioner Professional Counselor Savannah, GA

Practice location

Address: 125 Fahm St, Savannah, GA 31401-2391
Phone: (912) 344-9403
Mailing address: 3441 Cypress Mill Rd Suite 102, Brunswick, GA 31520-2878

Registered specialties

Professional Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YP2500X Licence LPC006467 (GA)

Other Counselor providers in Georgia →

Registry record

NPI: 1003109984
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 May 2011
Record last updated: 9 Oct 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.