Tyshawn Purnell, LCSW
Counselor, Mental Health in Glassboro, New Jersey
1437899606- Practice location
- 200 Rowan Blvd, Glassboro, NJ 08028-2260
- Phone
- 856-595-9115
- Fax
- —
- Last updated
- March 29, 2022
Tyshawn Purnell is a Counselor, Mental Health based in Glassboro, NJ. Tyshawn Purnell practices in Glassboro, NJ and has the professional credentials of LCSW. The NPI Number for Tyshawn Purnell is 1437899606 and holds a License No. 44SC06020500 (NJ). The current practice location address for Tyshawn Purnell is 200 Rowan Blvd, Glassboro, NJ 08028-2260 and can be reached out via phone at 856-595-9115.
Provider Profile Details
- NPI Number
- 1437899606
- Provider Name
- Tyshawn Purnell
- Credential
- LCSW
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 200 Rowan Blvd, Glassboro, NJ 08028-2260
- Phone Number
- 856-595-9115
- Primary Taxonomy
- Counselor, Mental Health · 101YM0800X
- Sole Proprietor
- No
- Provider Enumeration Date
- March 29, 2022
- Last Update Date
- March 29, 2022
- Certification Date
- March 29, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 200 Rowan Blvd
Glassboro, NJ 08028-2260 - City
- Glassboro
- State
- New Jersey
- Zip
- 08028-2260
- Phone Number
- 856-595-9115
Provider Business Mailing Address Details
- Address
- 200 Rowan Blvd
Glassboro, NJ 08028-2260 - City
- Glassboro
- State
- NJ
- Zip
- 08028-2260
- Phone Number
- 856-595-9115
License Information
- License Number
- 44SC06020500
- License State
- NJ
- Taxonomy
- 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 Tyshawn Purnell, LCSW?
The NPI number of Tyshawn Purnell, LCSW is 1437899606. It was assigned on March 29, 2022 and is currently active in the NPPES registry.
What is the specialty of Tyshawn Purnell, LCSW?
Tyshawn Purnell, LCSW is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in NJ under license number 44SC06020500.
Where does Tyshawn Purnell, LCSW practice?
The practice location is 200 Rowan Blvd, Glassboro, NJ 08028-2260. The office can be reached at 856-595-9115 (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 1437899606 directly on the NPPES registry website.