Provider Demographics
NPI:1467026740
Name:SINGLETON, ANTREANA ROMANDA
Entity Type:Individual
Prefix:
First Name:ANTREANA
Middle Name:ROMANDA
Last Name:SINGLETON
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 1:186 DOGWOOD ST
Mailing Address - Street 2:
Mailing Address - City:RIDGELAND
Mailing Address - State:SC
Mailing Address - Zip Code:29936-6112
Mailing Address - Country:US
Mailing Address - Phone:843-476-3260
Mailing Address - Fax:
Practice Address - Street 1:186 DOGWOOD ST
Practice Address - Street 2:
Practice Address - City:RIDGELAND
Practice Address - State:SC
Practice Address - Zip Code:29936-6112
Practice Address - Country:US
Practice Address - Phone:843-476-3260
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-19
Last Update Date:2021-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker