Individual provider · Type 1 NPI

Tanisha Shanika Samuel

Mental Health Counselor · Brooklyn, NY

NPI number 1417853169 Active

Practice location

88 E 40th St Apt 2
Brooklyn, NY 11203-2911

Call (347) 933-5301 Map

Mailing address

2248 Ryder St
Brooklyn, NY 11234-5116

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1417853169

Tanisha Shanika Samuel's National Provider Identifier is 1417853169, issued on Oct 19, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Brooklyn, NY. The record was last updated on Oct 19, 2026.