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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TARA D. ANCRUM, LPC

Active Sole Proprietor

TARA D. ANCRUM, LPC is a Professional Counselor healthcare provider located in HOLLYWOOD, South Carolina. NPI 1275086480 is currently active in the NPPES registry. Verify at CMS.

Professional Counselor · HOLLYWOOD, SC

Registration Details

NPI Number
1275086480
Provider Type
Individual
Gender
Female
NPI Issued
Jul 25, 2016 (10.026788185373 yrs)
Last Updated
Apr 21, 2022
Licenses
6589 (SC)
6126 (SC)
6589 (SC)
Sole Proprietor
Yes

Practice Information

Address
5740 ANCRUM BUTLER LN
HOLLYWOOD, SC, 294497101
Browse SC providers · Browse ZIP 29449
Phone
8434370372
Primary Specialty
Professional Counselor
101YP2500X
Additional Specialty
Mental Health Counselor
Additional Specialty
Professional Counselor

Other Professional Counselor Providers in HOLLYWOOD, SC

Name Credential NPI
DR. DEE HANN MORRISON PH. D. 1215004098
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.