TANISHA N TATUM
Counselor

Address: 5777 W Century Blvd # 11102035, Los Angeles, CA 90045-5600

TANISHA N TATUM (NPI# 1619504925) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1619504925
Entity Type Individual
Full Name TANISHA N TATUM
Gender Female
Credential LEP
Practice Address 5777 W Century Blvd # 11102035
Los Angeles
CA 90045-5600
Practice Telephone 4242487355
Mailing Address 5777 W Century Blvd # 11102035
Los Angeles
CA 90045-5600
Mailing Telephone 4242487355
Certification Date 2020-08-24
Enumeration Date 2020-03-25
Last Update Date 2020-09-29
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Grouping
N 101Y00000X Counselor 3897 CA Behavioral Health & Social Service Providers
Y 103T00000X Psychologist 3897 CA Behavioral Health & Social Service Providers
N 103TS0200X Psychologist
Specialization: School
3897 CA Behavioral Health & Social Service Providers

Provider Secondary Practice Locations

Address Telephone Number Fax Number
14903 S Normandie Ave Apt 117, Gardena, CA 902472964 4242487355

Office Location

Street Address 5777 W CENTURY BLVD # 11102035
City LOS ANGELES
State CA
Zip Code 90045-5600

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1235342973 Wings of Refuge Counselor - Mental Health 5777 W Century Blvd, Suite 910, Los Angeles, CA 90045-5600 2007-05-08
1962474387 Western States Homehealth Care Agency Inc · Western State Home Health Care,Inc. Home Health 5777 W Century Blvd Ste 610, Los Angeles, CA 90045-5600 2006-02-02
1609093699 Wings of Refuge Local Education Agency (LEA) 5777 W Century Blvd, Ste 910, Los Angeles, CA 90045-5600 2007-04-19
1912244112 Howell Alexis Simons Counselor - Mental Health 5777 W Century Blvd, Los Angeles, CA 90045-5600 2013-01-08
1801249479 Shannon Leigh Willis Behavioral Analyst 5777 W Century Blvd, Suite 675, Los Angeles, CA 90045-5600 2016-07-19
1295139103 Amber Allyn Kerns Behavioral Analyst 5777 W Century Blvd, Suite 675, Los Angeles, CA 90045-5600 2014-10-21
1649302324 Laura Hernandez Psychologist - Clinical 5777 W Century Blvd, Los Angeles, CA 90045-5600 2007-03-09
1225518244 Melinda Meshad Social Worker - Clinical 5777 W Century Blvd, Los Angeles, CA 90045-5600 2018-08-20
1376762278 Paulette L. Buchanan Marriage & Family Therapist 5777 W Century Blvd, Ste 910, Los Angeles, CA 90045-5600 2007-04-25
1295957611 Tianna Raaheal Teketse Counselor 5777 W Century Blvd, Suite 900, Los Angeles, CA 90045-5600 2007-05-03
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NPI Name Taxonomy Address Enumeration
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Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification.
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors.

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1467073965 Flowlab Inc Counselor 4528 Los Feliz Blvd, Los Angeles, CA 90027-2006 2020-05-06
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Competitor

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City LOS ANGELES
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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.