TYSHAWN PURNELL LCSW
NPI 1437899606
Counselor - Mental Health in Glassboro, NJ

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

Active since March 29, 2022

200 ROWAN BLVD, GLASSBORO, NJ 08028(856) 595-9115 Get Directions Write a Review

NPPES record last updated: March 29, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Tyshawn Purnell Lcsw NPPES

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

TYSHAWN PURNELL LCSW (NPI 1437899606) is an individual mental health provider in Glassboro, New Jersey, licensed in New Jersey (44SC06020500) and active in the NPI registry since March 2022.

NPPES Registry Identity

NPI1437899606

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameTYSHAWN PURNELLCredential: LCSW

Location Address200 ROWAN BLVDGlassboro, NJ 08028-2260

Mailing Address200 Rowan BlvdGlassboro, NJ 08028-2260 · (856) 595-9115

Phone(856) 595-9115

Sole ProprietorNo

Enumeration DateMarch 29, 2022

NPPES CertifiedMarch 29, 2022

✔ NPI 1437899606 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 · 44SC06020500

200 ROWAN BLVD, Glassboro, NJ 08028

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Other Providers at the Same Location NPPES 11

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

DURR-E-SHAHWAAR SAYED DO

Family Medicine