TANISHA RENEE WILSON LMHC NPI 1497050272

NPI Information

NPI: 1497050272
Provider Name: TANISHA RENEE WILSON, LMHC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
5 HIGH ST STE 101
MEDFORD, MA
ZIP 02155
Phone: (781) 338-2640
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Tanisha Renee Wilson, LMHC is a mental health counselor in Medford, MA. Tanisha Renee Wilson, LMHC NPI is 1497050272. 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:

5 HIGH ST STE 101
MEDFORD, MA
ZIP 02155-800
Phone: (781) 338-2640
Fax: (781) 338-2217

The enumeration date for this NPI number is 1/25/2011 and was last updated on 6/17/2021.

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	12401-MH-CC	MASSACHUSETTS	Yes
2	101YM0800X	Counselor	Mental Health			No

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: 4/28/2024

NPI Synchronization or Removal

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