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Tanisha Douglas
Counselor in Miami, Florida
NPI 1093107575

Tanisha Douglas is a Counselor based in Miami, FL. Tanisha Douglas practices in Miami, FL. The NPI Number for Tanisha Douglas is 1093107575 and holds a License No. (Florida).

The current practice location address for Tanisha Douglas is 22790 Sw 112Th Ave, Miami, FL and can be reached out via phone at 305-235-2616 and via fax at 305-235-6178.

Location: 22790 Sw 112Th Ave, Miami, FL, 33170-7602
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1093107575
Provider Name
Tanisha Douglas
Credential
Provider Entity Type
Individual
Gender
Female
Address
22790 Sw 112Th Ave, Miami, FL, 33170-7602
Phone Number
305-235-2616
Fax Number
305-235-6178
Provider Enumeration Date
02/20/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
22790 Sw 112Th Ave
City
Miami
State
Florida
Zip
33170-7602
Phone Number
305-235-2616
Fax Number
305-235-6178
person
Provider Business Mailing Address Details
Address
22790 Sw 112Th Ave
City
Miami
State
Florida
Zip
33170-7602
Phone Number
305-235-2616
Fax Number
305-235-6178
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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