Provider Demographics
NPI:1407429079
Name:BRIGHT JONES, TYEISHA (LCPC-S)
Entity Type:Individual
Prefix:
First Name:TYEISHA
Middle Name:
Last Name:BRIGHT JONES
Suffix:
Gender:F
Credentials:LCPC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2945 EMMORTON RD UNIT 321
Mailing Address - Street 2:
Mailing Address - City:ABINGDON
Mailing Address - State:MD
Mailing Address - Zip Code:21009-7513
Mailing Address - Country:US
Mailing Address - Phone:443-876-4091
Mailing Address - Fax:
Practice Address - Street 1:6 NASHUA CT STE B
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21221-3124
Practice Address - Country:US
Practice Address - Phone:443-876-4091
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-21
Last Update Date:2021-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health