SearchNorth Carolina101YA0400X

Tyrone Elijah, LCSWA

NPI 1023412558 · on the registry since 2014 · sole proprietor

Practice

Address
216 Stewart Pkwy
Washington, NC 27889
Phone
(252) 946-0585
Fax
(252) 946-0580
Organisation at this address
Dream Provider Care Services
Dream Provider Care Services
Dream Provider Care Services
Dream Provider Care Services
Dream Provider Care Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address
37

Additional practice sites

  • 505 Cheltenham Dr, Greenville, NC

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
NC
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-12-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina