Tyisha Shields, MA
NPI #1275711384 in Macon, Mississippi
Provider Information
- NPI Number
- 1275711384
- Entity Type
- Individual
- Name
- Tyisha Shields, MA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Mental Health
- Credential
- MA
- Enumeration Date
- Jan 31, 2008
- Last Updated
- Jan 31, 2008
Practice Location
- Address
- 200 W MLK DR
- City
- Macon
- State
- Mississippi
- ZIP Code
- 39341-2732
- Phone
- (662) 726-5042
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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