Individual
TYISHA NAQUITA THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
320 EDMONSON CIR # A, NASHVILLE, TN 37211-7220
(662) 592-2772
Mailing address
320 EDMONSON CIR # A, NASHVILLE, TN 37211-7220
(662) 592-2772
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/02/2021
Last updated
09/02/2021
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