MICHAELA J TOMBERLIN (NPI# 1881911097) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881911097 |
| Entity Type | Individual |
| Full Name | MICHAELA J TOMBERLIN |
| Credential | M.A. |
| Practice Address |
125 Muddy Toes Dr Anderson SC 29626-5349 |
| Mailing Address |
4123 Old Portman Rd Anderson SC 29626-5346 |
| Practice Telephone | 8643533384 |
| Practice Fax Number | 8642229715 |
| Mailing Telephone | 8643533384 |
| Mailing Fax Number | 8642229715 |
| Enumeration Date | 2010-04-27 |
| Last Update Date | 2010-08-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YP2500X |
Counselor Specialization: Professional |
3453 | NC | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
5163 | SC | Behavioral Health & Social Service Providers |
| Street Address |
125 MUDDY TOES DR |
| City | ANDERSON |
| State | SC |
| Zip Code | 29626-5349 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750716205 | Lisa Ann Mangold | Counselor | 125 Muddy Toes Dr, Anderson, SC 29626-5349 | 2013-09-03 |
| 1982996120 | Dana Courtney Despradel | Social Worker | 125 Muddy Toes Dr, Anderson, SC 29626-5349 | 2011-05-06 |
| 1588954994 | Counseling for Life, Inc. | Counselor | 125 Muddy Toes Dr, Anderson, SC 29626-5349 | 2011-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194331280 | Bryan Sabo | Pharmacist | 4361 Sc-24, Anderson, SC 29626 | 2020-09-23 |
| 1336511799 | Matthew Cape | Physical Therapy Assistant | 300 Public Well Road, Anderson, SC 29626 | 2015-10-26 |
| 1972945848 | Thomas James Bartz | Pharmacist | 4361 Hwy 24, Anderson, SC 29626 | 2013-07-22 |
| 1508162728 | Charles Pinckney Hunter IIi | Ophthalmology | 1501 North Main St, Anderson, SC 29626 | 2011-02-04 |
| 1336633510 | Medexpress Primary Care South Carolina, P.C. | Family Medicine | 10 Bib Way, Anderson, SC 29626 | 2018-06-20 |
| 1952808974 | Healthworks Med Group of South Carolina P C | Clinic/Center | 10 Bib Way, Anderson, SC 29626 | 2018-04-06 |
| 1306855051 | Joseph P Sero | Chiropractor | 2813 W Whitner St, Anderson, SC 29626-1034 | 2006-08-05 |
| 1548704356 | Peggy Jane Wilkie | Registered Nurse | 1909 Dobbins Bridge Rd, Anderson, SC 29626-1222 | 2016-12-13 |
| 1629471941 | Healthstat Onsite Clinic/kravet- Anderson | Preventive Medicine | 1500 Highway 29 S, Anderson, SC 29626-3038 | 2014-10-01 |
| 1285826974 | Ingles Markets Inc | Pharmacy | 4396 Highway 24, Anderson, SC 29626-5212 | 2007-08-16 |
| Find all providers in zip 29626 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376921858 | Erin Maurer | Counselor | 4120 Clemson Blvd, Suite F, Anderson, SC 29621-1176 | 2015-05-15 |
| 1164852653 | Facing It Together Counseling Services | Counselor | 2315 N Main St Ste 221a, Anderson, SC 29621-3888 | 2013-11-19 |
| 1811324601 | Stepping Forward LLC | Counselor | 312 Five Forks Rd, Anderson, SC 29621-4359 | 2013-10-11 |
| 1790037158 | Cheri Ames | Counselor | 2413 Northview Ave, Anderson, SC 29625-2815 | 2012-10-10 |
| 1174806368 | Elaine Wheaton | Counselor | 2315 N Main St, Suite 221 A, Anderson, SC 29621-3880 | 2011-09-23 |
| 1902043730 | Twala J Andrino | Counselor | 103 Northlake Dr, Anderson, SC 29625-5301 | 2009-01-15 |
| 1528234648 | Timothy Sawyer Nix | Counselor | 218 Tribble St, Anderson, SC 29625-4339 | 2008-05-08 |
| 1962530881 | Toni Kim Bryant | Counselor | 2315 N Main St Ste 201, Anderson, SC 29621-3880 | 2007-03-01 |
| 1013061308 | Deborah Ann Otto Sunderman | Counselor | 303 E Greenville St, Anderson, SC 29621-5535 | 2007-01-23 |
| 1609957489 | Bonnie Christmus Marsden | Counselor | 4122 Clemson Blvd, Suite 1-c, Anderson, SC 29621-1100 | 2006-10-18 |
| Find all providers in ANDERSON | ||||
Please comment or provide details below to improve the information on MICHAELA J TOMBERLIN.
| 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.