TANISHA DRYSDALE LSW
NPI 1417673781
Counselor - Mental Health in Eatontown, NJ
Active since October 18, 2022
About Tanisha Drysdale Lsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TANISHA DRYSDALE LSW (NPI 1417673781) is an individual mental health provider in Eatontown, New Jersey, licensed in New Jersey (44SL06785800) and active in the NPI registry since October 2022.
NPPES Registry Identity
NPI1417673781
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameTANISHA DRYSDALECredential: LSW
Location Address615 HOPE RD STE 3BEatontown, NJ 07724-1273
Mailing Address64 Regency Dr Apt 617Mount Holly, NJ 08060-1375 · (518) 764-8910
Phone(518) 764-8910
Sole ProprietorNo
Enumeration DateOctober 18, 2022
NPPES CertifiedOctober 18, 2022
✔ NPI 1417673781 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NJ · 44SL06785800
615 HOPE RD STE 3B, Eatontown, NJ 07724
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
Clinic/Center (Mental Health (Including Community Mental Health Center))
615 HOPE RD STE 3B
EATONTOWN, NJ 07724
EATONTOWN, NJ 07724
Nurse Practitioner (Psychiatric/Mental Health)
615 HOPE RD STE 3B
EATONTOWN, NJ 07724
EATONTOWN, NJ 07724
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1417673781, enumerated as an "individual" on October 18, 2022.
The provider is located at 615 HOPE RD STE 3B EATONTOWN, NJ 07724 and the phone number is (518) 764-8910.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
