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

Tyesha Shaw

Individual provider Mental Health Counselor · NPI 1023724762

Tyesha Shaw is a Mental Health Counselor in Disputanta, Virginia. Licensed in Virginia. Registered with an NPI since 2023.

Licensed in
VA
In the registry since
2023

Practice location Address checks out

11321 Walton Lake Rd
Disputanta, VA 23842-4510
Phone: (804) 930-3280
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 7094-07-006 (VA)

Record details

NPI number1023724762
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 26, 2023
Last updated in NPPESJanuary 26, 2023
Certification dateJanuary 26, 2023
Mailing address11321 Walton Lake Rd, Disputanta, VA 23842-4510

Other providers in Disputanta