Mccoy, Tabisha A

Mccoy, Tabisha A is an sole proprietor health care provider with primary practice located at 15150 Pawleys Pl , Waldorf MD 20601-5419. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Community Health Worker. Other Service Providers / Community Health Worker is her primary health care specialty. Mccoy, Tabisha A can be contacted via phone (757) 753-1740.

Contact Information

Primary practice address
15150 Pawleys Pl Waldorf MD 20601-5419
Phone: (757) 753-1740
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X $$$$$$$$$ North Carolina
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1700581733
LBN Legal business name Mccoy, Tabisha A
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 31st, 2023
Last updated May 12th, 2023 - about 3 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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