Tyra Watts Consulting, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

TYRA WATTS CONSULTING, LLC

Doing business as

Myndnasium Wellness
Tyra Watts Vocational Consulting

Practice address

5080 Le Chateau CV
Memphis, TN 38125-3912

Phone

(901) 921-6566

Fax

(888) 551-0262

NPI assigned

Apr 10, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Tyra Watts, PH.D

Title

Owner

Phone

(901) 921-6566

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 2

• Myndnasium Wellness Doing business as
• Tyra Watts Vocational Consulting Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tyra Bernard-Watts, RH.D, LPC

  • Professional Counselor
  • Memphis, TN
  • NPI 1720422371
  NPD

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

{
    "created_epoch": "1681084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733270400000",
    "number": "1306531777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5080 LE CHATEAU CV",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381253912",
            "telephone_number": "901-921-6566",
            "fax_number": "888-551-0262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5080 LE CHATEAU CV",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381253912",
            "telephone_number": "901-921-6566",
            "fax_number": "888-551-0262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TYRA WATTS CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-10",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A",
        "authorized_official_last_name": "WATTS",
        "authorized_official_first_name": "TYRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-921-6566",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q08224",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Myndnasium Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Tyra Watts Vocational Consulting",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rachel Michelle Tyler
• Ridonna Faye Tyler, RPH
• Trudy Dionne Tyler
• Daniel F. Tylka, D.M.D.
• Ryan Martin Tyner, PA
• Yolanda Tyson, PHARM D
• Chenite Tyus, LPC
• Elizabeth Villa Tyus, RN
• U Order, I Deliver LLC
• U. of Tennessee Gme

• Mental Health Clinic/Center (Including Community Mental Health Center) in Memphis, TN
• Providers in Memphis, TN by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 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.