TARISHAN WINDER
NPI 1912586033
Counselor - Addiction (Substance Use Disorder) in Southaven, MS

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).

Active since April 06, 2021

340 STATELINE RD W, SOUTHAVEN, MS 38671(662) 510-5980 Get Directions Write a Review

NPPES record last updated: April 6, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Tarishan Winder NPPES

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

TARISHAN WINDER (NPI 1912586033) is an individual addiction (substance use disorder) provider in Southaven, Mississippi, licensed in Mississippi (PA00335) and active in the NPI registry since April 2021.

NPPES Registry Identity

NPI1912586033

Entity TypeIndividualFemale

Primary Taxonomy101YA0400X

Provider Legal NameTARISHAN WINDER

Location Address340 STATELINE RD WSouthaven, MS 38671-1610

Mailing Address1907 Talisker DrCordova, TN 38016-0154 · (662) 910-8730

Phone(662) 510-5980

Sole ProprietorNo

Enumeration DateApril 6, 2021

NPPES CertifiedApril 6, 2021

✔ NPI 1912586033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in MS · PA00335

340 STATELINE RD W, Southaven, MS 38671

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Other Providers at the Same Location NPPES 18

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

STEVEN A SMITH

Counselor (Mental Health)