Tanisha Prins's National Provider Identifier (NPI) Details
Tanisha Prins, LCSW, BCD
NPI: 1972081586
Enumeration Date: 2018-08-06
Last updated: 2023-06-28
Sole Proprietor: YES
Status: active
Postal Address: 1800 DONG XOAI AVENUE, BUILDING 60, ROOM 250, GULFPORT, MS
Phone: 224-381-2479
Primary Practice Address: 1736 CANTON AVE, NORFOLK, MS
Practice's phone: 224-381-2479