Individual provider · NPI-1

Tamika Fagan, CBCS, CCHT,NHA

Community/Behavioral Health · Rocky Mount, NC

NPI number1083587042

StatusActive

Last updated in NPPESJan 29, 2026

Details

NPI: 1083587042
Entity type: Individual (NPI-1)
Name: Mrs. Tamika Fagan
Credential: CBCS, CCHT,NHA
Sex: Female
Sole proprietor: No
Enumeration date: Sep 25, 2025
Certification date: Jan 29, 2026
Last updated: Jan 29, 2026

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
251S00000X	Community/Behavioral Health	1138009113	NC	Yes
103TC2200X	Psychologist, Clinical Child & Adolescent	S4L8A5R7	NC
322D00000X	Residential Treatment Facility, Emotionally Disturbed Children	–	NC
376K00000X	Nurse's Aide	–	NC
261QU0200X	Clinic/Center, Urgent Care	–	NC
251S00000X	Community/Behavioral Health	–	NC
146D00000X	Personal Emergency Response Attendant	566993	NC
385HR2055X	Respite Care, Respite Care, Mental Illness, Child	–	NC
385H00000X	Respite Care	–	NC
343900000X	Non-emergency Medical Transport (VAN)	–	NC
101YM0800X	Counselor, Mental Health	–	NC
3104A0630X	Assisted Living Facility, Assisted Living, Behavioral Disturbances	–	NC
347E00000X	Transportation Broker	–	NC
171400000X	Health & Wellness Coach	–	NC

Practice location

1225 Manor Dr
Rocky Mount, NC 27804-4613

Phone 984-833-7423

Mailing address

1225 Manor Dr
Rocky Mount, NC 27804-4613

Phone 984-833-7423 · Fax 252-316-8682

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