Provider Demographics
NPI:1386182707
Name:HAIRSTON-PIGGEE, TAMEKO
Entity Type:Individual
Prefix:
First Name:TAMEKO
Middle Name:
Last Name:HAIRSTON-PIGGEE
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 1:3500 HAMILTON MILL DR
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27616-9007
Mailing Address - Country:US
Mailing Address - Phone:919-625-7543
Mailing Address - Fax:
Practice Address - Street 1:3500 HAMILTON MILL DR
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27616-9007
Practice Address - Country:US
Practice Address - Phone:919-625-7543
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-06
Last Update Date:2017-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0109121041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical