Tara Ancrum's National Provider Identifier (NPI) Details
Tara Ancrum, LPC
NPI: 1275086480
Enumeration Date: 2016-07-25
Last updated: 2022-04-21
Sole Proprietor: YES
Status: active
Postal Address: 5740 ANCRUM BUTLER LN, HOLLYWOOD, SC
Phone: 843-437-0372
Primary Practice Address: 5740 ANCRUM BUTLER LN, HOLLYWOOD, SC
Practice's phone: 843-437-0372