MEDICARE: TYNESHA MONIQUE JORDAN

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	101YM0800X	Mental Health Counselor		FL

General Provider Information

NPI Number	:	1619836681
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TYNESHA MONIQUE JORDAN

Provider Business Mailing Address
First Line	:	5340 FALLING STAR DR
Second Line	:
City	:	TALLAHASSEE
State	:	FL
Zip	:	32303-7823
Country	:	US
Telephone Number	:	850-661-4894
Fax Number	:	850-661-4894

Provider Business Practice Location Address
First Line	:	5340 FALLING STAR DR
Second Line	:
City	:	TALLAHASSEE
State	:	FL
Zip	:	32303-7823
Country	:	US
Telephone Number	:	850-661-4894
Fax Number	:	850-661-4894

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

Provider Enumeration Date	:	01/16/2026
Last Update Date	:	01/16/2026

Similar Medicare Providers

1841022688 — HEART N SOUL HOSPICE OF FLORIDA
Practice Location Address:

2639 N MONROE ST STE 101B
TALLAHASSEE, FL
32303-4069

Practice Phone: 678-333-7880
Practice Fax:

1013875616 — RAVEN PATRICIA MICHELLE PRINCE CCMA
Practice Location Address:

2229 MANDRELL CT
TALLAHASSEE, FL
32303-2758

Practice Phone: 352-995-1562
Practice Fax:

1962360115 — MS. RACHEL MARIE CONVERSI MS, RDN, LDN
Practice Location Address:

434 WILLIAMS ST
TALLAHASSEE, FL
32303-6359

Practice Phone: 727-831-6945
Practice Fax:

1700744992 — ARINAR LLC
Practice Location Address:

2229 MANDRELL CT
TALLAHASSEE, FL
32303-2758

Practice Phone: 352-995-1562
Practice Fax:

1396603593 — PLAYHOUSE HAIR LLC
Practice Location Address:

3831 ARBOR DR
TALLAHASSEE, FL
32303-7065

Practice Phone: 229-309-4010
Practice Fax:

1932065471 — BRYANT'S HOME CARE SERVICES LLC
Practice Location Address:

5717 SPLIT OAK LN
TALLAHASSEE, FL
32303-6737

Practice Phone: 850-350-6766
Practice Fax:

Directions to “ TYNESHA MONIQUE JORDAN ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.