Healthcare Provider Details

I. General information

NPI: 1700718962
Provider Name (Legal Business Name): TABITHA KATHLEEN DRUMMOND
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: TABITHA KATHLEEN NEFF

II. Dates (important events)

Enumeration Date: 06/02/2026
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

515 EAST ST
FLINT MI
48503-1946
US

IV. Provider business mailing address

515 EAST ST
FLINT MI
48503-1946
US

V. Phone/Fax

Practice location:
  • Phone: 810-238-3333
  • Fax: 810-238-7947
Mailing address:
  • Phone: 810-238-3355
  • Fax: 810-238-7947

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number6451023498
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: