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

Taryn Nicole Lisa

Individual provider Mental Health Counselor · NPI 1245053180

Taryn Nicole Lisa is a Mental Health Counselor in Monroe, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2024

Practice location Address checks out

360 State Route 17M Ste 4
Monroe, NY 10950-3444
Phone: (845) 547-0479
Show map & directions

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

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 015291 (NY)

Record details

NPI number1245053180
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 7, 2024
Last updated in NPPESNovember 7, 2024
Certification dateNovember 7, 2024

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