Individual ProviderTanya M TyrrellSocial WorkerBehavioral Health & Social Service ProvidersPractice Address1600 Specht Point Rd Ste 105, Fort Collins, CO 80525-4311(970) 494-5891(419) 695-8010PECOS EnrollmentBased on the most recent information from CMS, provider Tanya M Tyrrell does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1457733941Provider TypeIndividualFull NameTyrrell, Tanya MCredentialMSW, LCSW, LAC, ACSGenderFemaleSole ProprietorYesEnumeration Date6/22/2015Last Updated9/13/2021Contact InformationPractice LocationPractice Address1600 Specht Point Rd Ste 105, Fort Collins, CO 80525-4311Phone(970) 494-5891Fax(970) 494-5895Mailing LocationMailing Address10100 Elida Rd, Delphos, OH 45833-9056Phone(419) 695-8010Fax(419) 695-0004Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseCSW.09925171ColoradoCode101YA0400XDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseACD.0001264ColoradoCode1041C0700XDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseACS.3173