TASHA ROSE PONCE (NPI# 1124650825) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124650825 |
| Entity Type | Individual |
| Full Name | TASHA ROSE PONCE |
| Credential | MA, LMFT |
| Practice Address |
3227 Walter Dr Ste 3b Johns Island SC 29455-8171 |
| Practice Telephone | 8438725454 |
| Enumeration Date | 2020-02-10 |
| Last Update Date | 2020-02-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | LMFT7011 | SC | Behavioral Health & Social Service Providers |
| Street Address |
3227 WALTER DR STE 3B |
| City | JOHNS ISLAND |
| State | SC |
| Zip Code | 29455-8171 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295963437 | Daniel Uderitz | Psychiatry & Neurology | 3227 Walter Dr Ste 3b, Johns Island, SC 29455-8171 | 2009-06-25 |
| 1477077329 | Uderitz Family Psychiatry, LLC | Psychiatry & Neurology | 3227 Walter Dr Ste 3b, Johns Island, SC 29455-8171 | 2017-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689216863 | Live for Wellness Johns Island | Chiropractor | 1803 Crowne Commons Way, Suite 1-a, Johns Island, SC 29455 | 2019-10-09 |
| 1588180186 | Ashley Nicole Cox | Specialist/Technologist | 24 Surfsong Rd, Johns Island, SC 29455 | 2017-08-16 |
| 1568820173 | Bernard Mansheim | Internal Medicine | 3226 Maybank Highway Ste 1a, Johns Island, SC 29455 | 2016-02-10 |
| 1932527843 | Gordon Theodore Davis | General Practice | 3226 Maybank Highway Suite 1-a, Barrier Islands Free Medical Clinics, Johns Island, SC 29455 | 2014-03-29 |
| 1568749596 | Dawn Lachelle Sykes | Chiropractor | 3029 Maybank Highway, Suite 1, Johns Island, SC 29455 | 2011-11-04 |
| 1265765994 | Raymond David Mulligan | Psychologist | 431 Snowy Egret Lane, Kiawah Island, SC 29455 | 2009-09-14 |
| 1912172636 | Nicole Marie Juntz | Chiropractor | 3069 Maybank Hwy, Johns Island, SC 29455 | 2008-04-23 |
| 1972701803 | Village Optical LLC | Optometrist | 634 Freshfields Drive, Johns Island, SC 29455 | 2007-07-03 |
| 1902982945 | John Patrick Howard | Dentist | 1684 Brownswood Rd., Our Lady of Mercy Outreach, Johns Island, SC 29455 | 2006-10-31 |
| 1265515795 | Vincents Drug Store and Soda Fountain | Pharmacy | 110 Planted Row Lane, Johns Island, SC 29455 | 2006-10-20 |
| Find all providers in zip 29455 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437584844 | John Stewart Hyatt | Marriage & Family Therapist | 1781 Hickory Knl, Johns Island, SC 29455-8302 | 2013-09-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962084 | Latrese D. Kinney | Marriage & Family Therapist | 208 Wexford Dr, Taylors, SC 29687-4232 | 2020-11-02 |
| 1932721289 | Let It Go, LLC | Marriage & Family Therapist | 650 Enterprise Blvd Apt 3207, Charleston, SC 29492-8546 | 2020-05-09 |
| 1104458355 | Audrey Lauren Terkelsen | Marriage & Family Therapist | 5200 Three Springs Trl, Greenville, SC 29615-6744 | 2020-02-05 |
| 1972146611 | Modern Wellness Family Counseling | Marriage & Family Therapist | 811 E Main St Ste B, Spartanburg, SC 29302-2004 | 2019-10-25 |
| 1265080386 | Shauna Sottery | Marriage & Family Therapist | 407 Bayview Dr, Mt Pleasant, SC 29464-5600 | 2019-09-02 |
| 1861047037 | Susannah Long | Marriage & Family Therapist | 109 Laurens Road, Building 4 Ste D, Greenville, SC 29607 | 2019-08-05 |
| 1952955395 | Courtney Bramlett | Marriage & Family Therapist | 320 Pleasant Meadows Dr, Gaffney, SC 29341-1232 | 2019-07-24 |
| 1457917866 | Tmi Counseling and Coaching, LLC | Marriage & Family Therapist | 8187 Copperas Hill Dr, North Charleston, SC 29406-8935 | 2019-05-13 |
| 1891254579 | Boiling Springs First Baptist Church Counseling Service | Marriage & Family Therapist | 3600 Boiling Springs Rd, Boiling Springs, SC 29316 | 2019-03-13 |
| 1821556648 | Sara Katherine Wade | Marriage & Family Therapist | 175 Magnolia St Ste 102, Spartanburg, SC 29306-2324 | 2019-03-11 |
| Find all providers with the same taxonomy | ||||
| City | JOHNS ISLAND |
| Zip Code | 29455 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.