Individual
TANISHA LAKIA NEWSOME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCAS A
Contact information
Practice address
2927 FORRESTAL DR, DURHAM, NC 27703-4785
(919) 519-0533
Mailing address
119 HERBERT ST, DURHAM, NC 27703-2205
(919) 519-0533
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCAS-26837
NC
101YP1600X
Pastoral Counselor
Primary
TN6728981
NC
102X00000X
Poetry Therapist
—
NC
171M00000X
Case Manager/Care Coordinator
—
NC
174H00000X
Health Educator
—
NC
Other
Enumeration date
04/03/2019
Last updated
09/20/2025
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