Provider Demographics
NPI:1134970213
Name:COUNCIL, TEMPEST TEONNIA
Entity type:Individual
Prefix:
First Name:TEMPEST
Middle Name:TEONNIA
Last Name:COUNCIL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5302 CHERRY HILL RD
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:SC
Mailing Address - Zip Code:29449-6704
Mailing Address - Country:US
Mailing Address - Phone:843-847-6896
Mailing Address - Fax:
Practice Address - Street 1:5302 CHERRY HILL RD
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:SC
Practice Address - Zip Code:29449-6704
Practice Address - Country:US
Practice Address - Phone:843-847-6896
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-28
Last Update Date:2024-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health