Tabatha Hendricks
Individual provider Active NPI Counselor · Pickens, SC
NPI 1609349166 · NPPES record last updated Jan 8, 2019
Key facts
- NPI
- 1609349166
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 309 E Main St
Pickens, SC 29671-2319 - Phone
- (864) 423-9556
- NPI assigned
- Jan 8, 2019
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | Yes |
Addresses
Primary practice location
309 E Main St
Pickens, SC 29671-2319
Mailing address
309 E Main St
Pickens, SC 29671-2319
Phone (864) 423-9556
Other practice location 1
309 E Main St
Pickens, SC 29671-2319
Phone (864) 423-9556
Other providers in Pickens, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 8, 2019. 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.