Wright, Tabitha A

Wright, Tabitha A is an individual health care provider with primary practice located at 106 Springview Ln , Summerville SC 29485-8108. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Wright, Tabitha A can be contacted via phone (843) 873-5063.

Contact Information

Primary practice address
106 Springview Ln Summerville SC 29485-8108
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X LPCI-4745 South Carolina

Profile Details

NPI number 1558481465
LBN Legal business name Wright, Tabitha A
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 2nd, 2007
Last updated Jul 8th, 2007 - about 17 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 1558481465 NPPES
South Carolina MEDICAID 190166

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