| Tynes and Associates, LLC | |
|
2021 S Waverly Ave Ste 700 Springfield MO 65804-2400 | |
| (417) 883-2725 | |
| (417) 883-5653 |
| Full Name | Tynes and Associates, LLC |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2021 S Waverly Ave Ste 700, Springfield, Missouri |
| Authorized Official Name and Position | Katherine M Tynes (OWNER) |
| Authorized Official Contact | 4178832725 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tynes and Associates, LLC 2021 S Waverly Ave Ste 700 Springfield MO 65804-2400 Ph: (417) 883-2725 | Tynes and Associates, LLC 2021 S Waverly Ave Ste 700 Springfield MO 65804-2400 Ph: (417) 883-2725 |
| NPI Number | 1730449901 |
|---|---|
| Provider Enumeration Date | 05/22/2012 |
| Last Update Date | 06/21/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730449901 | NPI | - | NPPES |
| MA3382 | Other | MO | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 000420 (Missouri) | Primary |
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