| Tanisha J Therapy Group, LLC | |
|
8 The Grn Ste 25872 Dover DE 19901-3618 | |
| (302) 314-1777 | |
| Not Available |
| Full Name | Tanisha J Therapy Group, LLC |
|---|---|
| Speciality | Social Worker |
| Location | 8 The Grn Ste 25872, Dover, Delaware |
| Authorized Official Name and Position | Tanisha Humphrey (OWNER) |
| Authorized Official Contact | 3023141777 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tanisha J Therapy Group, LLC 8 The Grn Ste 25872 Dover DE 19901-3618 Ph: (302) 314-1777 | Tanisha J Therapy Group, LLC 8 The Grn Ste 25872 Dover DE 19901-3618 Ph: (302) 314-1777 |
| NPI Number | 1497603179 |
|---|---|
| Provider Enumeration Date | 03/19/2026 |
| Last Update Date | 08/05/2026 |
| Certification Date | 08/05/2026 |
| Medicare PECOS PAC ID | 9830669126 |
|---|---|
| Medicare Enrollment ID | O20260528000627 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497603179 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (NU) | Primary |
| Provider Name | Tanisha Humphrey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326802646 PECOS PAC ID: 9032699418 Enrollment ID: I20260528001070 |
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