KELLY SEGRAVES TYSON (M.S.) – Mental Health Counselor, NPI 1164769261

KELLY SEGRAVES TYSON (M.S.) is a healthcare provider. based in Grovetown, Georgia. specializing in Mental Health Counselor. They hold the professional credentials M.S.. They hold a License No. APC003687 (GA). The NPI Number for KELLY SEGRAVES TYSON (M.S.) is 1164769261

Main info

Female
Sole Proprietor
Name
KELLY SEGRAVES TYSON (M.S.)
NPI
1164769261
Phone
Not provided
Address
3913 GRIESE LN
Enumeration Date
9 January 2013
Last Update Date
30 April 2015
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

Provider Addresses for KELLY SEGRAVES TYSON (M.S.)

  • 3913 GRIESE LN

    GROVETOWN, GA 308138301

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Medicare Utilization (FFS)

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Insurance plans in this area (ZIP 30813)

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Frequently asked questions

How do I look up KELLY SEGRAVES TYSON (M.S.) by NPI?
Use NPI 1164769261 when you need to reference KELLY SEGRAVES TYSON (M.S.) in forms, claims, or directories.
Is KELLY SEGRAVES TYSON (M.S.) active in the national directory?
KELLY SEGRAVES TYSON (M.S.)'s public NPI profile is in an active state.
What does KELLY SEGRAVES TYSON (M.S.) treat or focus on?
Patients typically see KELLY SEGRAVES TYSON (M.S.) under the specialty Mental Health Counselor. Clinical services aligned with this taxonomy classification.
What location metadata exists for KELLY SEGRAVES TYSON (M.S.)?
The page summarizes Grovetown, Georgia for KELLY SEGRAVES TYSON (M.S.); expand the address list for detail.
How can I contact KELLY SEGRAVES TYSON (M.S.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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