Healthcare Provider Details

I. General information

NPI: 1740103746
Provider Name (Legal Business Name): TABRIKA MCCLEESE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/04/2026
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

607 WASHINGTON ST
WILLIAMSTON NC
27892-2645
US

IV. Provider business mailing address

1076 E PARK RD
WILLIAMSTON NC
27892-8347
US

V. Phone/Fax

Practice location:
  • Phone: 252-792-8035
  • Fax:
Mailing address:
  • Phone: 252-792-8035
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberP023908
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: