Provider Demographics
NPI:1477316271
Name:THAP, JAMIE ANN
Entity Type:Individual
Prefix:MRS
First Name:JAMIE
Middle Name:ANN
Last Name:THAP
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 1:151 KELSNEY RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:ELGIN
Mailing Address - State:SC
Mailing Address - Zip Code:29045-8396
Mailing Address - Country:US
Mailing Address - Phone:803-467-9515
Mailing Address - Fax:
Practice Address - Street 1:151 KELSNEY RIDGE DR
Practice Address - Street 2:
Practice Address - City:ELGIN
Practice Address - State:SC
Practice Address - Zip Code:29045-8396
Practice Address - Country:US
Practice Address - Phone:803-467-9515
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-05
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist