MS. ANGELA M TATUM FAIRFAX LPC BC-DMT NCC NPI 1891018628

NPI Information

NPI: 1891018628
Provider Name: MS. ANGELA M TATUM FAIRFAX, LPC, BC-DMT, NCC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
3618 SILVERSIDE RD
WILMINGTON, DE
ZIP 19810
Phone: (302) 319-3820
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MS. Angela M Tatum Fairfax, LPC, BC-DMT, NCC is a professional counselor in Wilmington, DE. MS. Angela M Tatum Fairfax, LPC, BC-DMT, NCC NPI is 1891018628. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3618 SILVERSIDE RD
WILMINGTON, DE
ZIP 19810-190
Phone: (302) 319-3820

The enumeration date for this NPI number is 3/8/2010 and was last updated on 11/20/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	PC005056	PENNSYLVANIA	No
2	225600000X	Dance Therapist		BC-DMT 1008	MARYLAND	No
3	101YP2500X	Counselor	Professional	PC-0000438	DELAWARE	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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