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

Individual provider Mental Health Counselor · NPI 1497050272

Tanisha Renee Wilson, LMHC is a Mental Health Counselor in Medford, Massachusetts. Practices as a sole proprietor. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2011
Specialties on file
2
What do these letters mean?
LMHC — Licensed Mental Health Counselor
A licensed mental health counsellor; the title used in Florida, New York and Washington among others.

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Practice location Address checks out

5 High St Ste 101
Medford, MA 02155-3800
Phone: (781) 338-2640
Fax: (781) 338-2217
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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 12401-MH-CC (MA)
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1497050272
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMHC
Sole proprietorYes
NPI enumeratedJanuary 25, 2011
Last updated in NPPESJune 17, 2021
Certification dateJune 17, 2021

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