Organization Active NPI

Tyrie LLC

  • Community/Behavioral Health Agency
  • Columbia, MD
National Provider Identifier
1790320109
Registry record updated Nov 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
TYRIE LLC
Practice address
9881 Broken Land Pkwy Ste 105
Columbia, MD 21046-3015
Phone
(443) 310-0689
NPI assigned
Nov 8, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2019

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

Authorized official

Name
Terrie Walts Tyrie, LCPCNPI 1164999850
Title
Owner
Phone
(443) 310-0689

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

9881 Broken Land Pkwy Ste 105
Columbia, MD 21046-3015

Mailing address

11328 Liberty St
Fulton, MD 20759-2509
Phone (443) 310-0689

Other names 1

  • Tranquility Counseling Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1573171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573171200000",
    "number": "1790320109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11328 LIBERTY ST",
            "city": "FULTON",
            "state": "MD",
            "postal_code": "207592509",
            "telephone_number": "443-310-0689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9881 BROKEN LAND PKWY STE 105",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210463015",
            "telephone_number": "443-310-0689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TYRIE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-08",
        "last_updated": "2019-11-08",
        "status": "A",
        "authorized_official_last_name": "TYRIE",
        "authorized_official_first_name": "TERRIE",
        "authorized_official_middle_name": "WALTS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-310-0689",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tranquility Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2019; 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.