Tanisha Lakia Newsome, Lcas A
Poetry Therapist in Durham, NC. Individual provider (NPI-1).
NPI number1861954331
StatusActive
Last updated in NPPESJun 19, 2026
Details
- NPI
- 1861954331
- Entity type
- Individual (NPI-1)
- Name
- Tanisha Lakia Newsome
- Credential
- Lcas A
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 3, 2019
- Certification date
- Jun 19, 2026
- Last updated
- Jun 19, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 102X00000X | Poetry Therapist | – | NC | Yes |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | LCAS-26837 | NC | |
| 101YP1600X | Counselor, Pastoral | 129 | NC | |
| 174H00000X | Health Educator | – | NC | |
| 171M00000X | Case Manager/Care Coordinator | – | NC |
Practice location
2927 Forrestal DrDurham, NC 27703-4785
Phone 919-519-0533
Mailing address
2927 Forrestal DrDurham, NC 27703-4785
Phone 919-519-0533
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