| Tanisha Jonique Willis, MHC-MP | |
|
66a Medford Ave, Patchogue, NY 11772-1202 | |
| (631) 730-5250 | |
| Not Available |
| Full Name | Tanisha Jonique Willis |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 66a Medford Ave, Patchogue, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831080290 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | P134431 (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Tanisha Jonique Willis, MHC-MP 1000 Mill Rd # 1405, Lake Ronkonkoma, NY 11779-1400 Ph: (516) 965-1442 | Tanisha Jonique Willis, MHC-MP 66a Medford Ave, Patchogue, NY 11772-1202 Ph: (631) 730-5250 |
Carolyn Vella, CASAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 475 E Main St, Patchogue, NY 11772 Phone: 631-569-7266 | |
Mrs. Bonnie F Kotkin, MA, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 475 E Main St, Suite 200, Patchogue, NY 11772 Phone: 516-909-6850 | |
Mrs. Michele Graziano F. Graziano, CASAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 456 Waverly Ave, Patchogue, NY 11772 Phone: 631-477-6460 Fax: 631-289-7098 | |
Mr. Oscar Pardo Jr., LMHC Counselor Medicare: Medicare Enrolled Practice Location: 235 E Main St, Patchogue, NY 11772 Phone: 631-388-7471 | |
Lindsay Dale Harris, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 440 W Main St, Patchogue, NY 11772 Phone: 631-245-5486 | |
Joan Miller, CASAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 365 E Main St, Patchogue, NY 11772 Phone: 631-852-1222 Fax: 631-852-1226 | |
Danielle Marie Greenan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 456 Waverly Ave, Patchogue, NY 11772 Phone: 631-447-6460 |