Provider Information for 1215799721
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
SHAMA TICSHERA WINSTON-FORD MS,LPC-A
Sex: Female
NPI: 1215799721
Last Updated: 2024-01-29
Certification Date: 2024-01-29
Certification Date: 2024-01-29
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1215799721 | ||||||||
| Enumeration Date | 2024-01-29 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 1917 SNOW GOOSE CIR GOOSE CREEK, SC 29445-6688 United States Phone: 843-437-2836 | Fax: | ||||||||
| Primary Practice Address | 1917 SNOW GOOSE CIR GOOSE CREEK, SC 29445-6688 United States Phone: 843-437-2836 | Fax: | ||||||||
| Secondary Practice Address(es) | 45 MOULTRIE ST | ||||||||
| Health Information Exchange |
| ||||||||
| Other Identifiers |
| ||||||||
| Taxonomy |
|