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 |
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Address | 60 Alloway Dr, Villa Rica, Georgia |
Phone Number | 4042105546 |
Fax Number | |
Sole Proprietor | Y |
Credentials | LCSW |
NPI Number Detail
NPI Number | 1164589248 |
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Provider Enumeration Date | 2007-01-02 |
Last Updated Date | 2011-12-09 |
Provider Mailing Address Detail
Address | 60 Alloway Dr |
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City | Villa Rica |
State | Georgia (GA) |
Post Code | 301803818 |
Phone Number | 4042105546 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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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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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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