Individual provider · Type 1 NPI

Tanya Michelle Johnson-Tickles

Counselor · Baton Rouge, LA

NPI number 1013890771 Active

Practice location

11616 Southfork Ave Ste 403
Baton Rouge, LA 70816-5241

Call (224) 261-7143 Map

Other practice locations

  • 2020 W Pinhook Rd Ste 204, Lafayette, LA 70508-3211 · (337) 261-8781

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XPLC11078 (LA)

Counselor: 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.

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About NPI 1013890771

Tanya Michelle Johnson-Tickles's National Provider Identifier is 1013890771, issued on Jul 30, 2025. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Baton Rouge, LA. The record was last updated on Apr 23, 2026.