Tanisha Jonique Willis, MHC-MP
Tanisha Jonique Willis, MHC-MP is a Mental Health Counselor in Patchogue, New York. Registered with an NPI since 2025.
- In the registry since
- 2025
Practice location Address checks out
66A Medford AvePatchogue, NY 11772-1202
Phone: (631) 730-5250
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X · Licence P134431 |
|---|
Record details
| NPI number | 1831080290 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MHC-MP |
| Sole proprietor | No |
| NPI enumerated | July 14, 2025 |
| Last updated in NPPES | July 14, 2025 |
| Certification date | July 14, 2025 |
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Kayla Marie Yzaguirre
66A Medford Ave, Patchogue, NY 11772-1202 · (631) 730-5250