Active NPIIndividual provider

Tanisha Drysdale, LSW

Counselor, Mental Health in Eatontown, New Jersey

NPI Number1417673781
Practice location
615 Hope RD Ste 3B, Eatontown, NJ 07724-1273
Fax
—
Last updated
October 18, 2022

Tanisha Drysdale is a Counselor, Mental Health based in Eatontown, NJ. Tanisha Drysdale practices in Eatontown, NJ and has the professional credentials of LSW. The NPI Number for Tanisha Drysdale is 1417673781 and holds a License No. 44SL06785800 (NJ). The current practice location address for Tanisha Drysdale is 615 Hope RD Ste 3B, Eatontown, NJ 07724-1273 and can be reached out via phone at 518-764-8910.

Provider Profile Details

NPI Number
1417673781
Provider Name
Tanisha Drysdale
Credential
LSW
Provider Entity Type
Individual
Gender
Female
Address
615 Hope RD Ste 3B, Eatontown, NJ 07724-1273
Phone Number
518-764-8910
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
No
Provider Enumeration Date
October 18, 2022
Last Update Date
October 18, 2022
Certification Date
October 18, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
615 Hope RD Ste 3B
Eatontown, NJ 07724-1273
Zip
07724-1273
Phone Number
518-764-8910
Eatontown, NJ 07724Get directions →

Provider Business Mailing Address Details

Address
64 Regency Dr Apt 617
Mount Holly, NJ 08060-1375
City
Mount Holly
State
NJ
Zip
08060-1375
Phone Number
518-764-8910

License Information

License Number
44SL06785800
License State
NJ
Taxonomy
Counselor, Mental Health · 101YM0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Tanisha Drysdale, LSW?

The NPI number of Tanisha Drysdale, LSW is 1417673781. It was assigned on October 18, 2022 and is currently active in the NPPES registry.

What is the specialty of Tanisha Drysdale, LSW?

Tanisha Drysdale, LSW is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in NJ under license number 44SL06785800.

Where does Tanisha Drysdale, LSW practice?

The practice location is 615 Hope RD Ste 3B, Eatontown, NJ 07724-1273. The office can be reached at 518-764-8910 (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 1417673781 directly on the NPPES registry website.

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