TYNISHA CLARKE NPI 1174088629

NPI Information

NPI: 1174088629
Provider Name: TYNISHA CLARKE
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
149 10TH AVE
MANCHESTER, NJ
ZIP 08759
Phone: (732) 575-6770
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Tynisha Clarke is a mental health counselor in Manchester, NJ. Tynisha Clarke NPI is 1174088629. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

149 10TH AVE
MANCHESTER, NJ
ZIP 08759-653
Phone: (732) 575-6770

The enumeration date for this NPI number is 2/8/2019 and was last updated on 8/25/2023.

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	101YA0400X	Counselor	Addiction (Substance Use Disorder)	37LC00374800	NEW JERSEY	No
2	101YM0800X	Counselor	Mental Health	37PC00959500	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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