Provider Demographics
NPI:1912763848
Name:JAMES, TAMIKA RASHAWN (LPCA)
Entity type:Individual
Prefix:MRS
First Name:TAMIKA
Middle Name:RASHAWN
Last Name:JAMES
Suffix:
Gender:F
Credentials:LPCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:629 HAMLIN WAY
Mailing Address - Street 2:
Mailing Address - City:IRMO
Mailing Address - State:SC
Mailing Address - Zip Code:29063-7753
Mailing Address - Country:US
Mailing Address - Phone:803-553-3614
Mailing Address - Fax:
Practice Address - Street 1:1612 MARION ST STE 308A
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29201-2938
Practice Address - Country:US
Practice Address - Phone:803-233-6956
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-27
Last Update Date:2024-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC8688101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health