TYSHAWN PURNELL LCSW NPI 1437899606

NPI Information

NPI: 1437899606
Provider Name: TYSHAWN PURNELL, LCSW
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
200 ROWAN BLVD
GLASSBORO, NJ
ZIP 08028
Phone: (856) 595-9115
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Tyshawn Purnell, LCSW is a mental health counselor in Glassboro, NJ. Tyshawn Purnell, LCSW NPI is 1437899606. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

200 ROWAN BLVD
GLASSBORO, NJ
ZIP 08028-260
Phone: (856) 595-9115

The enumeration date for this NPI number is 3/29/2022 and was last updated on 3/29/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	44SC06020500	NEW JERSEY	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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