Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TABATHA RUSSELL
Active Sole ProprietorTABATHA RUSSELL is a Community/Behavioral Health healthcare provider located in LA FAYETTE, Georgia. NPI 1851827257 is currently active in the NPPES registry. Verify at CMS.
Community/Behavioral Health · LA FAYETTE, GA
Registration Details
- NPI Number
- 1851827257
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 4, 2017 (9.1364150016929 yrs)
- Last Updated
- May 4, 2017
- Sole Proprietor
- Yes
Practice Information
- Address
-
212 BANDY RDLA FAYETTE, GA, 307284334Browse GA providers · Browse ZIP 30728
- Phone
- 4239910034
- Primary Specialty
-
Community/Behavioral Health
251S00000X
Other Community/Behavioral Health Providers in LA FAYETTE, GA
| Name | Credential | NPI |
|---|---|---|
| LINDA FARLEY | — | 1922534510 |
| JESSICA SMITH | — | 1760918130 |
| KIM CAMERON | — | 1447786827 |
| TERRIE HIX | — | 1093241473 |
| KELLY BLEVINS | — | 1326574740 |
| KAY ANDERSON | — | 1740701705 |
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.