Theresa's Way

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

THERESA'S WAY

Practice address

928 Hillside Dr
Pamplico, SC 29583-6810

Phone

(843) 616-4225

Fax

(843) 589-1248

NPI assigned

Sep 16, 2020

Last updated

Sep 16, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Tamiquia Tyesha Simon, ED.DNPI 1225412844

Title

Chief Executive Officer

Phone

(843) 616-4225

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tamiquia Simon, ED.D

  • Health Educator
  • Pamplico, SC
  • NPI 1225412844
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1600214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600214400000",
    "number": "1497361448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "928 HILLSIDE DR",
            "city": "PAMPLICO",
            "state": "SC",
            "postal_code": "295836810",
            "telephone_number": "843-616-4225",
            "fax_number": "843-589-1248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "928 HILLSIDE DR",
            "city": "PAMPLICO",
            "state": "SC",
            "postal_code": "295836810",
            "telephone_number": "843-616-4225",
            "fax_number": "843-589-1248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERESA'S WAY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-16",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A",
        "authorized_official_last_name": "SIMON",
        "authorized_official_first_name": "TAMIQUIA",
        "authorized_official_middle_name": "TYESHA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "843-616-4225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ED.D"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Parrish, PTA
• Lavon Cain Pinder, M.A. LPC
• Brandie Andrews Reynolds, M.D.
• James David Robinson, MA
• Tamiquia Simon, ED.D
• Wall Drugs of Pamplico, Inc.
• Sandra Weatherford, FNP

• Mental Health Counselor in Pamplico, SC
• Providers in Pamplico, SC by specialty
• Mental Health Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.