Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Tanisha Lawrence

Individual provider Child Mental Illness Respite Care · NPI 1881863579

Mrs. Tanisha Lawrence is a Child Mental Illness Respite Care in Glendale, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2008
Specialties on file
2

Practice location Address checks out

8705 W Morten Ave
Glendale, AZ 85305-3944
Phone: (623) 210-5169
Fax: (602) 455-4624
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foster Care Agency (primary) Taxonomy 253J00000X · Licence 571686 (AZ)
Child Mental Illness Respite Care Taxonomy 385HR2055X · Licence 571686 (AZ)

Record details

NPI number1881863579
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 27, 2008
Last updated in NPPESMarch 19, 2020
Certification dateMarch 19, 2020

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