| Provider / Organization | NPI | Date Certified |
|---|---|---|
| JASMINE R. THAGARD | 1871258459 | 2022-10-01 |
Jasmine R. Thagard is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1871258459. Registration indicates Jasmine R. Thagard is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Social Worker (Behavioral Health & Social Service Providers, Social Worker) (Social Worker, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Social Worker, Behavioral Health & Social Service Providers) Access to Mental Health/Behavioral Health Providers (Behavioral Health & Social Service Providers, Social Worker) (Behavioral Health & Social Service Providers, Social Worker) (Social Worker: Clinical, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Social Worker Clinical, Behavioral Health & Social Service Providers) (Social Worker, )
| Entity Type | Individual |
| Provider Name | Ms. Jasmine R. Thagard MSW, LCSWA |
| Practice Office Address | 351 WAGONER DR STE 175 FAYETTEVILLE, NC US |
| Practice Office Telephone | 9106733535 |
| Mailing Address | 126 W TWELVE OAKS RD RAEFORD, NC 283765638 US |
| Code | Practice | License No State |
|---|---|---|
| 104100000X | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Social Worker Behavioral Health & Social Service Providers Social Worker Social Worker Behavioral Health/Substance Abuse/Psychiatry Social Worker Behavioral Health & Social Service Providers | |
| 1041C0700X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Social Worker Behavioral Health & Social Service Providers Social Worker Social Worker: Clinical Behavioral Health/Substance Abuse/Psychiatry Social Worker Clinical Behavioral Health & Social Service Providers Social Worker | P018239
NC |