Shawnta' Tyrrell Tisdale - Conway, SC

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.

Location: 164 Waccamaw Medical Park Dr, Conway, SC, 29556-4951

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

Address

164 Waccamaw Medical Park Dr

City

Conway

State

South Carolina

Zip

29526-8903

Phone Number

843-347-5060

Fax Number

Address

164 Waccamaw Medical Park Dr

City

Conway

State

South Carolina

Zip

29526-8903

Phone Number

843-347-5060

Fax Number

Type

Behavioral Health & Social Service Providers

Classification

Counselor

Speciality

Taxonomy

101Y00000X

License No.

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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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