Provider Demographics
NPI:1659848588
Name:TRUAX, TANYSHA
Entity Type:Individual
Prefix:
First Name:TANYSHA
Middle Name:
Last Name:TRUAX
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2818 AZALEA PL
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37204-3118
Mailing Address - Country:US
Mailing Address - Phone:615-499-3062
Mailing Address - Fax:
Practice Address - Street 1:2818 AZALEA PL
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37204-3118
Practice Address - Country:US
Practice Address - Phone:615-499-3062
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-29
Last Update Date:2022-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor