TINA CANTRELL PMHNP
NPI 1811813603
Nurse Practitioner - Psychiatric/Mental Health in Fort Mill, SC
Active since June 25, 2026
About Tina Cantrell Pmhnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TINA CANTRELL PMHNP (NPI 1811813603) is an individual psychiatric/mental health provider in Fort Mill, South Carolina, licensed in North Carolina (5024728) and active in the NPI registry since June 2026. She maintains a secondary practice location in Gastonia.
NPPES Registry Identity
NPI1811813603
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameTINA CANTRELLCredential: PMHNP
Location Address8180 REGENT PKWY STE 109Fort Mill, SC 29715-8417
Mailing Address317 Blue Sky Dr NwConcord, NC 28027-7344
Phone(803) 979-6171
Sole ProprietorNo
Enumeration DateJune 25, 2026
NPPES CertifiedJune 10, 2026
✔ NPI 1811813603 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NC · 5024728
8180 REGENT PKWY STE 109, Fort Mill, SC 29715
Secondary Practice Location 1
Location 1116 W Third Ave Ste 1Gastonia, NC 28052-4368 · Phone (803) 979-6171
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1811813603, enumerated as an "individual" on June 25, 2026.
The provider is located at 8180 REGENT PKWY STE 109 FORT MILL, SC 29715 and the phone number is (803) 979-6171.
Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.
