Tynes Mental Health Agency LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

TYNES MENTAL HEALTH AGENCY LLC

Practice address

5215 Colley Ave Ste 138
Norfolk, VA 23508-2172

Phone

(757) 321-0463

Fax

(757) 257-0082

NPI assigned

Feb 13, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Lakesha Williams

Title

Owner

Phone

(757) 718-6361

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1676246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704326400000",
    "number": "1063119733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5215 COLLEY AVE STE 136",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235082172",
            "telephone_number": "757-321-0463",
            "fax_number": "757-395-4531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5215 COLLEY AVE STE 138",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235082172",
            "telephone_number": "757-321-0463",
            "fax_number": "757-257-0082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TYNES MENTAL HEALTH AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-13",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "LAKESHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-718-6361",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Twitty
• Tycon Medical Systems Inc
• Briana Marie Tyler
• Brittney Tyler, MD
• John G Tyler, CRNA
• Brandon Tynes
• Angelica Tyree
• Chernelle Maison Symone Tyson, LCSW
• Mary Kaye Tyson, PT
• Tia Tyson

• Community/Behavioral Health Agency in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Community/Behavioral Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.