Siders, Tamara L
Siders, Tamara L is an sole proprietor health care provider with primary practice located at 301 Anderson St , Greenville SC 29601-4022. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Siders, Tamara L can be contacted via phone (864) 283-0637.Contact Information
Primary practice address
301 Anderson St
Greenville SC 29601-4022
Phone: (864) 283-0637
Fax: (864) 283-0638
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 5470 | South Carolina |
Profile Details
| NPI number | 1720322399 |
|---|---|
| LBN Legal business name | Siders, Tamara L |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 20th, 2012 |
| Last updated | Nov 20th, 2012 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720322399 | NPPES |
| South Carolina | MEDICAID | GP4982 |
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