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Shawnta' Tyrrell Tisdale
Counselor in Conway, South Carolina
NPI 1235162553

Shawnta' Tyrrell Tisdale is a Counselor based in Kingstree, SC. Shawnta' Tyrrell Tisdale practices in Conway, SC. The NPI Number for Shawnta' Tyrrell Tisdale is 1235162553 and holds a License No. (South Carolina).

The current practice location address for Shawnta' Tyrrell Tisdale is 164 Waccamaw Medical Park Dr, Conway, SC and can be reached out via phone at 843-347-5060. You can also correspond with Shawnta' Tyrrell Tisdale through the mailing address at 1184 SUMTER HWY, KINGSTREE, SC - 29556-4951 (mailing address contact number: 843-382-3867).

Location: 164 Waccamaw Medical Park Dr, Conway, SC, 29556-4951
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1235162553
Provider Name
Shawnta' Tyrrell Tisdale
Credential
Provider Entity Type
Individual
Gender
Female
Address
164 Waccamaw Medical Park Dr, Conway, SC, 29556-4951
Phone Number
843-347-5060
Fax Number
Provider Enumeration Date
07/09/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
164 Waccamaw Medical Park Dr
City
Conway
State
South Carolina
Zip
29526-8903
Phone Number
843-347-5060
Fax Number
person
Provider Business Mailing Address Details
Address
164 Waccamaw Medical Park Dr
City
Conway
State
South Carolina
Zip
29526-8903
Phone Number
843-347-5060
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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