Individual provider · Type 1 NPI

Tyisha Shields, MA

Mental Health Counselor · Macon, MS

NPI number 1275711384 Active

Practice location

200 W Mlk Dr
Macon, MS 39341-2732

Call (662) 726-5042 Map

Fax (662) 726-5009

Mailing address

302 N Jackson St
Starkville, MS 39759-2504

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

4 other providers at this address

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About NPI 1275711384

Tyisha Shields, MA's National Provider Identifier is 1275711384, issued on Jan 31, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Macon, MS. The record was last updated on Jan 31, 2008.