Tynisha Clarke, - Counselor in Manchester, NJ

Tynisha Clarke, is a Counselor - Mental Health based in Manchester, New Jersey. Tynisha Clarke is licensed to practice in New Jersey (license number 37PC00959500) and her current practice location is 149 10th Ave, Manchester, New Jersey. She can be reached at her office (for appointments etc.) via phone at (732) 575-6770.

NPI number for Tynisha Clarke is 1174088629 and her current mailing address is 149 10th Ave, Manchester, New Jersey. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1174088629.

Contact Information

Tynisha Clarke,
149 10th Ave,
Manchester, NJ 08759-5653
(732) 575-6770
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameTynisha Clarke
GenderFemale
SpecialityCounselor - Mental Health
Location149 10th Ave, Manchester, New Jersey
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1174088629
  • Provider Enumeration Date: 02/08/2019
  • Last Update Date: 08/25/2023

Medical Identifiers

Medical identifiers for Tynisha Clarke such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174088629NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) 37LC00374800 (New Jersey)Secondary
101YM0800XCounselor - Mental Health 37PC00959500 (New Jersey)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tynisha Clarke is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Tynisha Clarke,
149 10th Ave,
Manchester, NJ 08759-5653

Ph: (732) 575-6770
Tynisha Clarke,
149 10th Ave,
Manchester, NJ 08759-5653

Ph: (732) 575-6770

Reviews and Comments


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