Provider Demographics
NPI:1245989813
Name:MONCRIEF, T'SHARIN
Entity type:Individual
Prefix:
First Name:T'SHARIN
Middle Name:
Last Name:MONCRIEF
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:PO BOX 251254
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36125-1254
Mailing Address - Country:US
Mailing Address - Phone:334-538-1435
Mailing Address - Fax:
Practice Address - Street 1:2074 MIDYETTE RD APT 526
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32301-6243
Practice Address - Country:US
Practice Address - Phone:334-538-1435
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-21
Last Update Date:2022-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)