TANAISHA JACKSON
NPI 1659911360
Counselor - Mental Health in New York, NY
Active since January 10, 2020
About Tanaisha Jackson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TANAISHA JACKSON (NPI 1659911360) is an individual mental health provider in New York, New York and active in the NPI registry since January 2020.
NPPES Registry Identity
NPI1659911360
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameTANAISHA JACKSON
Location Address73 LENOX AVENew York, NY 10026-3007
Mailing Address321 E 153rd St Apt 1dBronx, NY 10451-4942
Phone(212) 663-1596
Sole ProprietorYes
Enumeration DateJanuary 10, 2020
✔ NPI 1659911360 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
73 LENOX AVE, New York, NY 10026
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
Student in an Organized Health Care Education/Training Program
73 LENOX AVE
NEW YORK, NY 10026
NEW YORK, NY 10026
Counselor (Addiction (Substance Use Disorder))
73 LENOX AVE
NEW YORK, NY 10026
NEW YORK, NY 10026
Counselor (Addiction (Substance Use Disorder))
73 LENOX AVE
NEW YORK, NY 10026
NEW YORK, NY 10026
Counselor (Addiction (Substance Use Disorder))
73 LENOX AVE
NEW YORK, NY 10026
NEW YORK, NY 10026
Counselor (Addiction (Substance Use Disorder))
73 LENOX AVE
NEW YORK, NY 10026
NEW YORK, NY 10026
Counselor (Addiction (Substance Use Disorder))
73 LENOX AVE
NEW YORK, NY 10026
NEW YORK, NY 10026
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1659911360, enumerated as an "individual" on January 10, 2020.
The provider is located at 73 LENOX AVE NEW YORK, NY 10026 and the phone number is (212) 663-1596.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.