Willard, Tamara A
Willard, Tamara A is an sole proprietor health care provider with primary practice located at 4221 Mayfair St Suite 207, Myrtle Beach SC 29577-5757. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Willard, Tamara A can be contacted via phone (843) 360-9491.Contact Information
Primary practice address
4221 Mayfair St Suite 207
Myrtle Beach SC 29577-5757
Phone: (843) 360-9491
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 4859 | South Carolina |
Profile Details
| NPI number | 1518138742 |
|---|---|
| LBN Legal business name | Willard, Tamara A |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 16th, 2008 |
| Last updated | Nov 10th, 2009 - about 17 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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