Provider Demographics
NPI:1073842480
Name:PRESSLEY, TYSHA (MSED, CRC, LCMHC)
Entity Type:Individual
Prefix:MS
First Name:TYSHA
Middle Name:
Last Name:PRESSLEY
Suffix:
Gender:F
Credentials:MSED, CRC, LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7902 CADMIUM CT
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28215-9408
Mailing Address - Country:US
Mailing Address - Phone:917-916-9115
Mailing Address - Fax:
Practice Address - Street 1:7902 CADMIUM CT
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28215-9408
Practice Address - Country:US
Practice Address - Phone:704-916-9318
Practice Address - Fax:980-422-0196
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-14
Last Update Date:2020-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC00090615225C00000X
NC7621101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
No225C00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation CounselorGroup - Single Specialty