TYISHA SHIELDS MA
NPI 1275711384
Counselor - Mental Health in Macon, MS

Active since January 31, 2008
200 W MLK DR, MACON, MS 39341(662) 726-5042(662) 726-5009 Get Directions Write a Review

NPPES record last updated: January 31, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tyisha Shields Ma NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TYISHA SHIELDS MA (NPI 1275711384) is an individual mental health provider in Macon, Mississippi and active in the NPI registry since January 2008.

NPPES Registry Identity

NPI1275711384
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameTYISHA SHIELDSCredential: MA
Location Address200 W MLK DRMacon, MS 39341-2732
Mailing Address302 N Jackson StStarkville, MS 39759-2504 · (662) 323-9261 · Fax (662) 324-9647
Fax(662) 726-5009
Sole ProprietorNo
Enumeration DateJanuary 31, 2008
NPI 1275711384 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
200 W MLK DR, Macon, MS 39341

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
200 W MLK DR
MACON, MS 39341
Counselor (Mental Health)
200 W MLK DR
MACON, MS 39341
Counselor (Mental Health)
200 W MLK DR
MACON, MS 39341
Counselor (Mental Health)
200 W MLK DR
MACON, MS 39341

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tyisha Shields's NPI number?

The NPI number for Tyisha Shields is 1275711384. It was assigned to this individual provider in the NPPES registry on January 31, 2008.

Where is Tyisha Shields located?

Tyisha Shields practices at 200 W Mlk Dr, Macon, MS 39341. The listed phone number is (662) 726-5042.

What is Tyisha Shields's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Tyisha Shields was last updated on January 31, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.