Allen, Tisheka

Allen, Tisheka is an individual health care provider with primary practice located at 423 Hudson Blvd , Avenel NJ 07001-1310. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Allen, Tisheka can be contacted via phone (616) 644-5051.

Contact Information

Primary practice address
423 Hudson Blvd Avenel NJ 07001-1310
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 44SL06647300 New Jersey

Profile Details

NPI number 1326710617
LBN Legal business name Allen, Tisheka
Credentials LSW
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2021
Last updated Oct 4th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326710617 NPPES
New Jersey MEDICAID 44SL06647300

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