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Tamara Willard
Community/Behavioral Health Agency in Myrtle Beach, South Carolina
NPI 1215462742

Tamara Willard is a Community/Behavioral Health Agency based in Myrtle Beach, SC. Tamara Willard practices in Myrtle Beach, SC. The NPI Number for Tamara Willard is 1215462742 and holds a License No. 4859 (South Carolina).

The current practice location address for Tamara Willard is 4221 Mayfair St, Myrtle Beach, SC and can be reached out via phone at 843-360-9491. You can also correspond with Tamara Willard through the mailing address at 4221 MAYFAIR ST, MYRTLE BEACH, SC - 29577-5757 (mailing address contact number: ).

Location: 4221 Mayfair St, Myrtle Beach, SC, 29577-5757
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1215462742
Provider Name
Tamara Willard
Credential
Provider Entity Type
Organization
Address
4221 Mayfair St, Myrtle Beach, SC, 29577-5757
Phone Number
843-360-9491
Fax Number
Provider Enumeration Date
04/21/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PC1117 05 SC
institution
Provider Business Practice Location Address Details
Address
4221 Mayfair St
City
Myrtle Beach
State
South Carolina
Zip
29577-5757
Phone Number
843-360-9491
Fax Number
person
Provider Business Mailing Address Details
Address
4221 Mayfair St
City
Myrtle Beach
State
South Carolina
Zip
29577-5757
Phone Number
843-360-9491
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
4859 (South Carolina)
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
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