Tanner, Melicia Ivette

Tanner, Melicia Ivette is an individual health care provider with primary practice located at 139 Lila Doyle Dr , Seneca SC 29672-9495. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Tanner, Melicia Ivette can be contacted via phone (864) 482-3483.

Contact Information

Primary practice address
139 Lila Doyle Dr Seneca SC 29672-9495
Phone: (864) 482-3483
Fax: (864) 482-3497
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 7038 South Carolina
Behavioral Health & Social Service Providers / Social Worker 104100000X 7038 South Carolina
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 7038 South Carolina

Profile Details

NPI number 1578921342
LBN Legal business name Tanner, Melicia Ivette
Credentials MS
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2016
Last updated Nov 21st, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1578921342 NPPES
South Carolina MEDICAID 301100

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