Wise, Tiaka

Wise, Tiaka is an individual health care provider with primary practice located at 3630 Chauncey Ave , Louisville KY 40211-2383. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Wise, Tiaka can be contacted via phone (502) 299-1319.

Contact Information

Primary practice address
3630 Chauncey Ave Louisville KY 40211-2383
Phone: (502) 299-1319
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 280644 Kentucky
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 280644 Kentucky

Profile Details

NPI number 1285357566
LBN Legal business name Wise, Tiaka
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2022
Last updated Sep 22nd, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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