TINA ANDREA TANNER
NPI 1780475566
Counselor - Mental Health in Crystal Springs, MS
Active since May 13, 2025
About Tina Andrea Tanner NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TINA ANDREA TANNER (NPI 1780475566) is an individual mental health provider in Crystal Springs, Mississippi and active in the NPI registry since May 2025.
NPPES Registry Identity
NPI1780475566
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameTINA ANDREA TANNER
Location Address1009 PINE MEADOWS DRCrystal Springs, MS 39059-8877
Mailing Address1009 Pine Meadows DrCrystal Springs, MS 39059-8877 · (601) 717-3111
Phone(601) 717-3111
Sole ProprietorNo
Enumeration DateMay 13, 2025
NPPES CertifiedMay 13, 2025
✔ NPI 1780475566 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1009 PINE MEADOWS DR, Crystal Springs, MS 39059
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1780475566, enumerated as an "individual" on May 13, 2025.
The provider is located at 1009 PINE MEADOWS DR CRYSTAL SPRINGS, MS 39059 and the phone number is (601) 717-3111.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
