Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TYESHA SHAW
ActiveTYESHA SHAW is a Mental Health Counselor healthcare provider located in DISPUTANTA, Virginia. NPI 1023724762 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · DISPUTANTA, VA
Registration Details
- NPI Number
- 1023724762
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 26, 2023 (3.4049043990218 yrs)
- Last Updated
- Jan 26, 2023
- License
-
7094-07-006 (VA)
Practice Information
- Address
-
11321 WALTON LAKE RDDISPUTANTA, VA, 238424510Browse VA providers · Browse ZIP 23842
- Phone
- 8049303280
- Primary Specialty
-
Mental Health Counselor
101YM0800X
Other Mental Health Counselor Providers in DISPUTANTA, VA
| Name | Credential | NPI |
|---|---|---|
| JASMINE DANISHA GANT | — | 1104505064 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.