# MRS. TAMIKA FAGAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1083587042
- **Gender:** F
- **Credential:** CBCS, CCHT,NHA

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NC | — |
| 103TC2200X | Clinical Child & Adolescent Psychologist | S4L8A5R7 | NC | — |
| 146D00000X | Personal Emergency Response Attendant | 566993 | NC | — |
| 171400000X | Health & Wellness Coach | — | NC | — |
| 251E00000X | Home Health Agency | 1138009113 | NC | — |
| 251S00000X | Community/Behavioral Health Agency | 1138009113 | NC | Yes |
| 251S00000X | Community/Behavioral Health Agency | — | NC | — |
| 261QU0200X | Urgent Care Clinic/Center | — | NC | — |
| 3104A0630X | Assisted Living Facility (Behavioral Disturbances) | — | NC | — |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | — | NC | — |
| 323P00000X | Psychiatric Residential Treatment Facility | — | — | Yes |
| 343900000X | Non-emergency Medical Transport (VAN) | — | NC | — |
| 347E00000X | Transportation Broker | — | NC | — |
| 376K00000X | Nurse's Aide | — | NC | — |
| 385H00000X | Respite Care | — | NC | — |
| 385HR2055X | Child Mental Illness Respite Care | — | NC | — |

## Other

- **Enumeration date:** 09/25/2025
- **Last updated:** 01/29/2026