MEDICARE: MISS TANIKA JOHARI WEST LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171400000X	Health & Wellness Coach
2	1041C0700X	Clinical Social Worker	CSW010064	GA
3	374J00000X	Doula		GA
4	174200000X	Meals Provider

General Provider Information

NPI Number	:	1831496652
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS TANIKA JOHARI WEST LCSW

Provider Business Mailing Address
First Line	:	1441 WOODMONT LN NW # 1541
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30318-2866
Country	:	US
Telephone Number	:	404-400-9302
Fax Number	:

Provider Business Practice Location Address
First Line	:	1441 WOODMONT LN NW # 1541
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30318-2866
Country	:	US
Telephone Number	:	404-400-9302
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/14/2011
Last Update Date	:	06/04/2026

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