Tenise Wall, LCSW Counseling Services PLLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

TENISE WALL, LCSW COUNSELING SERVICES PLLC

Practice address

61 Highland Ave
Middletown, NY 10940-5534

Phone

(845) 551-2832

Fax

(844) 212-3386

NPI assigned

Sep 19, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Tenise M. Wall, PHDNPI 1194197913

Title

Ceo

Phone

(845) 551-2832

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tenise Wall, LMSW

  • Social Worker
  • Ellenville, NY
  • NPI 1194197913
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1663545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663545600000",
    "number": "1659093326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 EISENHOWER DR",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109404536",
            "telephone_number": "845-551-2832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 HIGHLAND AVE",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109405534",
            "telephone_number": "845-551-2832",
            "fax_number": "844-212-3386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENISE WALL, LCSW COUNSELING SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-19",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-19",
        "status": "A",
        "authorized_official_last_name": "WALL",
        "authorized_official_first_name": "TENISE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "845-551-2832",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roberta Olivia Taylor, LMSW
• Clifford M Teich, M.D.
• Amanda Liane Teichman, M.D.
• Arezoo Teimouri, PA
• Roman Temkin, D.D.S.
• Alicemarie Tennyson
• Hannah Renee Terlep, MD
• Sonali Thakur, DO
• Lisa Thayer, N.P.
• The Breath Between Psychotherapy LCSW PLLC

• Community/Behavioral Health Agency in Middletown, NY
• Providers in Middletown, NY by specialty
• Community/Behavioral Health Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.