Tavernier, Jennifer Brooke

Tavernier, Jennifer Brooke is an individual health care provider with primary practice located at 1547 Parkway , Greenwood SC 29646-4081. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Tavernier, Jennifer Brooke can be contacted via phone (864) 229-7120.

Contact Information

Primary practice address
1547 Parkway Greenwood SC 29646-4081
Phone: (864) 229-7120
Fax: (864) 229-5526
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 6964 South Carolina
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 6964 South Carolina

Profile Details

NPI number 1649723735
LBN Legal business name Tavernier, Jennifer Brooke
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2016
Last updated Jul 12th, 2021 - about 4 years 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649723735 NPPES
South Carolina MEDICAID 421504

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