Shawnta' Tyrrell Tisdale in Kingstree - Counselor
Shawnta' Tyrrell Tisdale - NPI 1235162553
Shawnta' Tyrrell Tisdale is a Counselor in Kingstree, South Carolina. Shawnta' Tyrrell Tisdale practices all healthcare services and medical treatments related to Counselor. The NPI Number for Shawnta' Tyrrell Tisdale is 1235162553. The last update date is 2007-07-08.
Shawnta' Tyrrell Tisdale's current location address is 1184 Sumter Hwy, Kingstree, South Carolina. You can contact this provider via phone number 8433823867. The mailing address for Shawnta' Tyrrell Tisdale is 1184 Sumter Hwy, Kingstree, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shawnta' Tyrrell Tisdale |
|---|---|
| Address | 1184 Sumter Hwy, Kingstree, South Carolina |
| Phone Number | 8433823867 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1235162553 |
|---|---|
| Provider Enumeration Date | 2006-07-09 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1184 Sumter Hwy |
|---|---|
| City | Kingstree |
| State | South Carolina (SC) |
| Post Code | 295564951 |
| Phone Number | 8433823867 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Counselor |
|---|---|
| Taxonomy | 101Y00000X |
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Definition: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supe |
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Post Comment/ Review Below
What is the Shawnta' Tyrrell Tisdale's unique identification number?
The Shawnta' Tyrrell Tisdale has been assigned the NPI (National Provider Identifier) Number 1235162553 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Shawnta' Tyrrell Tisdale is physically located?
The Shawnta' Tyrrell Tisdale is situated at the following address: 1184 Sumter Hwy, Kingstree, SC 295564951.
What is the Shawnta' Tyrrell Tisdale's specialty and taxonomy code?
The Shawnta' Tyrrell Tisdale's specialty is Counselor, and the corresponding taxonomy code is 101Y00000X.
On what date did the Shawnta' Tyrrell Tisdale receive its 1235162553 assignment from the Centers for Medicare & Medicaid Services?
The Shawnta' Tyrrell Tisdale was assigned its 1235162553 by the Centers for Medicare & Medicaid Services on 2006-07-09.
As of what date was the information pertaining to Shawnta' Tyrrell Tisdale, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Shawnta' Tyrrell Tisdale, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.
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