person
Tisha M Bayless, LCPC
Professional Counselor in Springfield, Illinois
NPI 1568901783

Tisha M Bayless is a Professional Counselor based in Springfield, IL and is specialized in Professional. Tisha M Bayless practices in Springfield, IL and has the professional credentials of LCPC. The NPI Number for Tisha M Bayless is 1568901783 and holds a License No. 180010764 (Illinois).

The current practice location address for Tisha M Bayless is 710 N 8Th St, Springfield, IL and can be reached out via phone at 217-525-1064 and via fax at 217-525-1651.

Location: 710 N 8Th St, Springfield, IL, 62702-6324
person
Provider Profile Details
NPI Number
1568901783
Provider Name
Tisha M Bayless
Credential
LCPC
Provider Entity Type
Individual
Gender
Female
Address
710 N 8Th St, Springfield, IL, 62702-6324
Phone Number
217-525-1064
Fax Number
217-525-1651
Provider Enumeration Date
02/21/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
710 N 8Th St
City
State
Zip
62702-6324
Phone Number
217-525-1064
Fax Number
217-525-1651
person
Provider Business Mailing Address Details
Address
710 N 8Th St
City
State
Zip
62702-6324
Phone Number
217-525-1064
Fax Number
217-525-1651
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
180010764 (Illinois)
Definition
Definition to come...
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