Healthcare Provider Details

I. General information

NPI: 1124625751
Provider Name (Legal Business Name): TNM SOCIAL SERVICES CONSULTING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2020
Last Update Date: 10/06/2020
Certification Date: 10/06/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

827 MORTON RD
ANNISTON AL
36205-3438
US

IV. Provider business mailing address

827 MORTON RD
ANNISTON AL
36205-3438
US

V. Phone/Fax

Practice location:
  • Phone: 256-452-7231
  • Fax:
Mailing address:
  • Phone: 256-452-7231
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. TYCOMA NESHAY MILLER
Title or Position: OWNER
Credential: BSW, MPH
Phone: 256-452-7231