Nichole Mesa Tyree, LMHC is a
Counselor - Mental Health based in South Glens Falls, New York. Nichole Mesa Tyree is licensed to practice in Massachusetts (license number 11175) and her current practice location is
52 Fairview St Ext Apt 1, South Glens Falls, New York. She can be reached at her office (for appointments etc.) via phone at
(518) 791-2219.
NPI number for Nichole Mesa Tyree is 1942600556 and her current mailing address is 52 Fairview St Ext Apt 1, South Glens Falls, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1942600556.
Healthcare Provider's Profile
Full Name | Nichole Mesa Tyree |
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Gender | Female |
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Speciality | Counselor - Mental Health |
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Location | 52 Fairview St Ext Apt 1, South Glens Falls, New York |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1942600556
- Provider Enumeration Date: 09/02/2014
- Last Update Date: 09/13/2023
Medical Identifiers
Medical identifiers for Nichole Mesa Tyree such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1942600556 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 11175 (Massachusetts) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nichole Mesa Tyree is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Nichole Mesa Tyree, LMHC 52 Fairview St Ext Apt 1, South Glens Falls, NY 12803-4887 Ph: (518) 791-2219 | Nichole Mesa Tyree, LMHC 52 Fairview St Ext Apt 1, South Glens Falls, NY 12803-4887 Ph: (518) 791-2219 |
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