Hennagan, Tabitha Gail

Hennagan, Tabitha Gail is an individual health care provider with primary practice located at 3080 Highway 15-401 E , Mc Coll SC 29570-6128. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Hennagan, Tabitha Gail can be contacted via phone (843) 523-5751.

Contact Information

Primary practice address
3080 Highway 15-401 E Mc Coll SC 29570-6128
Phone: (843) 523-5751
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 7984 South Carolina

Profile Details

NPI number 1689981276
LBN Legal business name Hennagan, Tabitha Gail
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 3rd, 2010
Last updated Feb 13th, 2024 - about 9 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1689981276 NPPES
South Carolina MEDICAID PC2513
South Carolina Other SCR603

Popular Providers