Tanita M Teagle in Villa Rica - Clinical

Tanita M Teagle - NPI 1164589248

Tanita M Teagle is a Clinical in Villa Rica, Georgia. Tanita M Teagle practices all healthcare services and medical treatments related to Clinical. The NPI Number for Tanita M Teagle is 1164589248. The last update date is 2011-12-09.

Tanita M Teagle's current location address is 60 Alloway Dr, Villa Rica, Georgia. You can contact this provider via phone number 4042105546. The mailing address for Tanita M Teagle is 60 Alloway Dr, Villa Rica, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Tanita M Teagle
Address 60 Alloway Dr, Villa Rica, Georgia
Phone Number 4042105546
Fax Number
Sole Proprietor Y
Credentials LCSW

NPI Number Detail

NPI Number 1164589248
Provider Enumeration Date 2007-01-02
Last Updated Date 2011-12-09

Provider Mailing Address Detail

Address 60 Alloway Dr
City Villa Rica
State Georgia (GA)
Post Code 301803818
Phone Number 4042105546
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No CSW003512
Definition:
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif

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FAQs about Tanita M Teagle

What is the unique identification code assigned to Tanita M Teagle by the Centers for Medicare & Medicaid Services?

The Tanita M Teagle has been issued the NPI (National Provider Identifier) 1164589248. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Tanita M Teagle is physically located?

The Tanita M Teagle is physically situated at the following address: 60 Alloway Dr, Villa Rica, GA, 301803818.

What is the Tanita M Teagle's area of specialization and corresponding taxonomy classification?

The Tanita M Teagle's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.

When did Tanita M Teagle receive its 1164589248 assignment?

The Tanita M Teagle was assigned its 1164589248 on 2007-01-02, which is the date when this unique identifier was issued to the organization.

As of what date were the Tanita M Teagle's details last updated?

The information pertaining to the Tanita M Teagle, including its address, specialty, and other details, was most recently updated on 2011-12-09.

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