Individual
TANYA COWPERTHWAITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPS-MH, CAMS-1
Contact information
Practice address
108 OLYMPIA DR STE 201, WARNER ROBINS, GA 31093-3627
(478) 227-3552
(478) 346-0932
Mailing address
108 OLYMPIA DR STE 201, WARNER ROBINS, GA 31093-3627
(478) 227-3552
(478) 346-0932
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
1004
GA
Other
Enumeration date
09/22/2025
Last updated
09/22/2025
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