Tynisha Clarke
Counselor, Mental Health in Manchester, New Jersey
1174088629- Practice location
- 149 10TH Ave, Manchester, NJ 08759-5653
- Phone
- 732-575-6770
- Fax
- —
- Last updated
- August 25, 2023
Tynisha Clarke is a Counselor, Mental Health based in Manchester, NJ. Tynisha Clarke practices in Manchester, NJ. The NPI Number for Tynisha Clarke is 1174088629 and holds a License No. 37LC00374800 (NJ). The current practice location address for Tynisha Clarke is 149 10TH Ave, Manchester, NJ 08759-5653 and can be reached out via phone at 732-575-6770.
Provider Profile Details
- NPI Number
- 1174088629
- Provider Name
- Tynisha Clarke
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 149 10TH Ave, Manchester, NJ 08759-5653
- Phone Number
- 732-575-6770
- Primary Taxonomy
- Counselor, Mental Health · 101YM0800X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- February 8, 2019
- Last Update Date
- August 25, 2023
- Certification Date
- August 25, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 149 10TH Ave
Manchester, NJ 08759-5653 - City
- Manchester
- State
- New Jersey
- Zip
- 08759-5653
- Phone Number
- 732-575-6770
Provider Business Mailing Address Details
- Address
- 149 10TH Ave
Manchester, NJ 08759-5653 - City
- Manchester
- State
- NJ
- Zip
- 08759-5653
- Phone Number
- 732-575-6770
License Information
- License Number (1)
- 37LC00374800
- License State (1)
- NJ
- Taxonomy (1)
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X
- License Number (2)
- 37PC00959500
- License State (2)
- NJ
- Taxonomy (2)
- Counselor, Mental Health · 101YM0800X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Tynisha Clarke?
The NPI number of Tynisha Clarke is 1174088629. It was assigned on February 8, 2019 and is currently active in the NPPES registry.
What is the specialty of Tynisha Clarke?
Tynisha Clarke is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in NJ under license number 37LC00374800.
Where does Tynisha Clarke practice?
The practice location is 149 10TH Ave, Manchester, NJ 08759-5653. The office can be reached at 732-575-6770 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1174088629 directly on the NPPES registry website.