Tyra Jameese Hicks, MA, QMHP
NPI #1437653649 in Petersburg, Virginia
Provider Information
- NPI Number
- 1437653649
- Entity Type
- Individual
- Name
- Tyra Jameese Hicks, MA, QMHP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Case Manager/Care Coordinator
- Credential
- MA, QMHP
- Enumeration Date
- Mar 21, 2018
- Last Updated
- Apr 15, 2020
Practice Location
- Address
- 410 WALNUT ST
- City
- Petersburg
- State
- Virginia
- ZIP Code
- 23803-5763
- Phone
- (804) 835-9959
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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