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TAMARA WILLARD
NPI 1215462742
Community/Behavioral Health in Myrtle Beach, SC

Active since April 21, 2017
4221 MAYFAIR ST, MYRTLE BEACH, SC 29577(843) 360-9491 Get Directions Write a Review

NPPES record last updated: April 21, 2017. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Tamara Willard NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TAMARA WILLARD (NPI 1215462742) is a healthcare organization registered as a community/behavioral health in Myrtle Beach, South Carolina and active in the NPI registry since April 2017. The organization lists Tamara Willard, Owner, as its authorized official.

NPPES Registry Identity

NPI1215462742
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameTAMARA WILLARD
Location Address4221 MAYFAIR STMyrtle Beach, SC 29577-5757
Mailing Address4221 Mayfair StMyrtle Beach, SC 29577-5757
Phone(843) 360-9491
Organization SubpartNo
Authorized OfficialTamara WillardOwner · (843) 360-9491
Enumeration DateApril 21, 2017
✔ NPI 1215462742 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License✔ Licensed in SC · 4859
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
4221 MAYFAIR ST, Myrtle Beach, SC 29577
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Other Identifiers 1

MedicaidPC1117SC

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HAYDEE SENCION
Counselor (Professional)
4221 MAYFAIR ST
MYRTLE BEACH, SC 29577
Horry County (843) 999-0373
A NEW DIRECTION COUNSELING LLC
Counselor (Professional)
4221 MAYFAIR ST
MYRTLE BEACH, SC 29577
Horry County (843) 424-5855
DR. FRANKLIN NEAL SMITH OD
Optometrist
4221 MAYFAIR ST
MYRTLE BEACH, SC 29577
Horry County (843) 448-6630
MRS. AMY KATHRYN HESS LPCA, NCC
Counselor (Mental Health)
4221 MAYFAIR ST
MYRTLE BEACH, SC 29577
Horry County (843) 968-2364
ELIZABETH NIXON, LPC
Counselor (Mental Health)
4221 MAYFAIR ST
MYRTLE BEACH, SC 29577
Horry County (843) 455-2258
MS. TAMARA A WILLARD LPC
Counselor (Mental Health)
4221 MAYFAIR ST, SUITE 207
MYRTLE BEACH, SC 29577
Horry County (843) 360-9491
LAVONDA ROCHELLE KNOX LPC
Counselor (Mental Health)
4221 MAYFAIR ST
MYRTLE BEACH, SC 29577
Horry County (843) 455-0558
TIDAL EYE CENTER LLC
Optometrist
4221 MAYFAIR ST
MYRTLE BEACH, SC 29577
Horry County (843) 448-6630

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tamara Willard's NPI number?

The NPI number for Tamara Willard is 1215462742. It was assigned to this organization in the NPPES registry on April 21, 2017.

Where is Tamara Willard located?

Tamara Willard is located at 4221 Mayfair St, Myrtle Beach, SC 29577. The listed phone number is (843) 360-9491.

What is Tamara Willard's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Tamara Willard was last updated on April 21, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.