Tanya Michelle Johnson-Tickles

NPI #1013890771 in Baton Rouge, Louisiana

Provider Information

NPI Number: 1013890771
Entity Type: Individual
Name: Tanya Michelle Johnson-Tickles
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Jul 30, 2025
Last Updated: Feb 6, 2026

Practice Location

Address: 11616 SOUTHFORK AVE STE 403
City: Baton Rouge
State: Louisiana
ZIP Code: 70816-5241
Phone: (224) 261-7143

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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