ASHTON DOBY TISDALE


Address: 1224 Pickens St Ste 220, Columbia, SC 29201-3428
Phone: 8038751699

ASHTON DOBY TISDALE (NPI# 1871093922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1871093922
Entity Type Individual
Full Name ASHTON DOBY TISDALE
Credential LISW-CP, LAC, CACII
Practice Address 1224 Pickens St Ste 220
Columbia
SC 29201-3428
Practice Telephone 8038751699
Mailing Telephone 8038751699
Enumeration Date 2018-02-15
Last Update Date 2019-07-24
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
10820 SC Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
1 Windsor Cv Ste 303, Columbia, SC 292231833 7045760252
1224 Pickens St Ste 220, Columbia, SC 292013428 8038751699
440 Knox Abbott Dr Ste 220, Cayce, SC 29033 8038965685 8038965710

Office Location

Street Address 1224 PICKENS ST STE 220
City COLUMBIA
State SC
Zip Code 29201-3428

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1366049421 Souzan Moslehshirazi Behavior Technician 1320 Main Street Suite 300, Colombia, SC 29201 2020-10-02
1295353936 Kayla Faylyn Nicole Mckenzie Specialist/Technologist 1905 Southern Drive, Unit 1905a, Columbia, SC 29201 2020-07-09
1548887128 Casania's Caring Hands,llc Home Health Aide 1113 Belleview Street, 105, Columbia, SC 29201 2020-06-30
1639719909 Benjamin Clark Watson Acupuncturist 1825 Sumter St., Columbia, SC 29201 2020-01-14
1588217574 Aneika Daley Specialist/Technologist 1211 Wheat St, Columbia, SC 29201 2019-07-19
1447803531 Gillian Taylor Shaughnessy Specialist/Technologist 147 South Marion St, Columbia, SC 29201 2019-07-18
1417417619 Maria Nelson Behavior Technician 320 Main St Suite 300, Columbia, SC 29201 2019-03-22
1679041297 Nathaniel Carl Stocker Nurse Practitioner 1614 Main Street, Suite C, Sc House Calls Inc, Columbia, SC 29201 2018-11-13
1558852855 The Practice Family Medicine 1910 Gregg Street, Columbia, SC 29201 2018-05-22
1871095836 Kadesjah Samuels Behavior Technician 1320 Main Street, Suite 300, Columbia, SC 29201 2018-03-06
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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1477018265 Valeri Hampton Counselor 12144 Red Stream Way, Columbia, MD 21044-2785 2019-02-05
1336623016 Tamara Lynn Robinson Counselor 1510 Hatcher Ln Ste 1, Columbia, TN 38401-4813 2018-09-19
1255703039 The Institute for Community and Family Mental Health Services LLC Counselor 2400 Two Notch Rd, Columbia, SC 29204-2227 2015-10-20
1710379284 Hannah Brown Counselor 3525 Bellingham Rd, Columbia, SC 29203-5523 2015-02-20
1336545185 Lisa M Davis Counselor 7121 Columbia Gateway Drive, Columbia, MD 21046 2014-11-06
1629473459 Leslie Wilson Counselor 2323 Lady Street, Columbia, SC 29204 2014-10-22
1093120677 Jennifer Wentworth Wilson Counselor 8815 Centre Park Dr Ste 300, Columbia, MD 21045-2299 2014-06-23
1578992251 Amanda Brown Counselor 9023 Garners Ferry Road, Columbia, SC 29061-9687 2013-11-04
1154750842 Dewayne Rowe Sr. Counselor 200 Berryhill Rd Apt 338, Columbia, SC 29210-6452 2013-11-04
1043645310 Gerry Ann King Counselor 1301 Vandiver Dr, Suite Y, Columbia, MO 65202-3900 2013-09-05
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Competitor

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City COLUMBIA
Zip Code 29201

Improve Information

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Dataset Information

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.

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