Tashema Durn
Individual provider Active NPI Mental Health Counselor · Camilla, GA
NPI 1578992152 · NPPES record last updated Nov 7, 2013
Key facts
- NPI
- 1578992152
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 218 S Macarthur Dr
Camilla, GA 31730-7410 - Phone
- (229) 336-2247
- Fax
- (229) 336-8009
- NPI assigned
- Nov 5, 2013
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
218 S Macarthur Dr
Camilla, GA 31730-7410
Mailing address
218 S Macarthur Dr
Camilla, GA 31730-7410
Phone (229) 336-2247
Other providers in Camilla, GA
- Sonji Marie Davis
- Bashiru A Dawodu
- Vanessa L Dawson
- Dr Raymond J Otis Sr PC
- William Charles Dunn
- Crystal Edmonds
- Joseph Ellinger
- Casidy Enfinger
- Englewood Health Systems, Inc.
- Charles Edward Evans III
All providers in Camilla, GA · Mental Health Counselor in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 7, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.