Organization
NELSON PSYCHOLOGICAL SERVICES, LLC
Active
Organization
NELSON PSYCHOLOGICAL SERVICES, LLC
Active
Other names
Dr. Tiesha Nelson
Organization subpart
No
Provider details
NPI number
Authorized official
TIESHA S NELSON PSY.D. (CEO)
(954) 294-8139
Entity
Organization
Contact information
Practice address
8360 W OAKLAND PARK BLVD STE 301F&G, SUNRISE, FL 33351-7332
(941) 404-5483
(941) 328-3575
Mailing address
8360 W OAKLAND PARK BLVD STE 301F&G, SUNRISE, FL 33351-7332
(941) 404-5483
(941) 328-3575
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
—
—
171M00000X
Case Manager/Care Coordinator
—
—
2084P0800X
Psychiatry Physician
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
07/31/2019
Last updated
06/15/2020
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