Search › Virginia › 171M00000X
Tyra Hicks, MA, QMHP
NPI 1437653649 · on the registry since 2018 · sole proprietor
Practice
- Address
- 410 Walnut St
Petersburg, VA 23803 - Phone
- (804) 835-9959
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Sex
- Female
- Record last updated
- 2020-04-15
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 Virginia