Individual
MRS. TAMIKA FAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CBCS, CCHT,NHA
Contact information
Practice address
1225 MANOR DR, ROCKY MOUNT, NC 27804-4613
(984) 833-7423
Mailing address
1225 MANOR DR, ROCKY MOUNT, NC 27804-4613
(984) 833-7423
(252) 316-8682
Taxonomy
Speciality
Code
Description
License number
State
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
Primary
1138009113
NC
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
Primary
—
—
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
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