Provider Demographics
NPI:1033730569
Name:STACKHOUSE-GEIGER, TASHIA (LPCA, CACP)
Entity Type:Individual
Prefix:
First Name:TASHIA
Middle Name:
Last Name:STACKHOUSE-GEIGER
Suffix:
Gender:F
Credentials:LPCA, CACP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1605 CENTRAL AVE STE 264
Mailing Address - Street 2:
Mailing Address - City:SUMMERVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29483-9386
Mailing Address - Country:US
Mailing Address - Phone:843-781-0075
Mailing Address - Fax:854-222-9097
Practice Address - Street 1:1605 CENTRAL AVE STE 264
Practice Address - Street 2:
Practice Address - City:SUMMERVILLE
Practice Address - State:SC
Practice Address - Zip Code:29483-9386
Practice Address - Country:US
Practice Address - Phone:843-781-0075
Practice Address - Fax:854-222-9097
Is Sole Proprietor?:No
Enumeration Date:2020-05-06
Last Update Date:2022-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor