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Individual

TISHEKKA N CAIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
295 DALTON RD, MOCKSVILLE, NC 27028-5117
(336) 941-8121
Mailing address
8011 N POINT BLVD STE E2, WINSTON SALEM, NC 27106-3244
(866) 902-8287

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
NC
172V00000X
Community Health Worker
175T00000X
Peer Specialist
NC
175T00000X
Peer Specialist
Primary
374J00000X
Doula
Primary
NC

Other

Enumeration date
08/25/2025
Last updated
06/23/2026
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