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

Tyiesha Lee White, MA

Individual provider Other Technician · NPI 1326880873

Tyiesha Lee White, MA is an Other Technician in Troy, Illinois. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2024
Specialties on file
2
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

See every abbreviation used in this directory →

Practice location Address checks out

104 Henderson St
Troy, IL 62294-1114
Phone: (573) 353-3642
Show map & directions

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

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 7995 (MO)
Other Technician Taxonomy 247200000X · Licence 2022046188 (MO)

Record details

NPI number1326880873
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA
Sole proprietorYes
NPI enumeratedJune 6, 2024
Last updated in NPPESJune 6, 2024
Certification dateJune 6, 2024