Tanisha Jonique Willis is a Patchogue, New York based counselor who is specialized as Mental Health Counselor. Active license number of Tanisha Jonique Willis is P134431 for Mental Health Counselor in . Her current practice location is 66a Medford Ave, Patchogue. Patients can book an appointment with her at 631-730-5250.
Tanisha Jonique Willis is a licensed professional who helps individuals, couples, and families manage and overcome emotional, psychological, and behavioral challenges. She assess clients’ mental health conditions and develop personalized treatment plans to provide therapy for a range of mental health issues, including anxiety, depression, trauma, relationship issues, stress, grief, and life transitions.
Complete Profile:
Tanisha Jonique Willis speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Tanisha Jonique Willis |
| Specialization: | Mental Health Counselor |
| Gender: | Female |
| Credentials: | MHC-MP |
| Accepts Medicare Assignment: | No |
| Practice Address: | 66a Medford Ave, Patchogue,
New York, 11772-1202 |
| Phone: | 631-730-5250 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1831080290 |
| NPI Enumeration Date: | 14 Jul, 2025 |
| NPI Last Update On: | 14 Jul, 2025 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Tanisha Jonique Willis are as mentioned below.
| License Number | Specialization | State | Status | |
| P134431 | Mental Health Counselor | | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1000 Mill Rd # 1405,
Lake Ronkonkoma, New York |
| Zip: | 11779-1400 |
| Phone Number: | 516-965-1442 |
Patients can reach Tanisha Jonique Willis at
66a Medford Ave, Patchogue, New York or can
call to book an appointment on 631-730-5250.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.