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

Tyshonna Domrae Jordan

Individual provider Mental Health Counselor · NPI 1225546153

Tyshonna Domrae Jordan is a Mental Health Counselor in Dinwiddie, Virginia. Registered with an NPI since 2018.

In the registry since
2018

Practice location Address checks out

12318 Boydton Plank Rd
Dinwiddie, VA 23841
Phone: (804) 504-9089
Show map & directions

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

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1225546153
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 12, 2018
Last updated in NPPESApril 12, 2021
Certification dateApril 12, 2021

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