Stephens, Tanisha Nicole

Stephens, Tanisha Nicole is an individual health care provider with primary practice located at 1600 Broad Ave , Gulfport MS 39501-3603. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Counselor. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Stephens, Tanisha Nicole can be contacted via phone (228) 863-1132.

Contact Information

Primary practice address
1600 Broad Ave Gulfport MS 39501-3603
Phone: (228) 863-1132
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1467948828
LBN Legal business name Stephens, Tanisha Nicole
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2018
Last updated Feb 19th, 2020 - about 6 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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