Provider Demographics
NPI:1760243133
Name:MCADOO, TABITHA GIUNTA
Entity Type:Individual
Prefix:
First Name:TABITHA
Middle Name:GIUNTA
Last Name:MCADOO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:TABITHA
Other - Middle Name:GIUNTA
Other - Last Name:VELOTTI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:714 W CORBETT AVE STE 13
Mailing Address - Street 2:
Mailing Address - City:SWANSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:28584-8437
Mailing Address - Country:US
Mailing Address - Phone:252-722-9992
Mailing Address - Fax:
Practice Address - Street 1:714 W CORBETT AVE STE 13
Practice Address - Street 2:
Practice Address - City:SWANSBORO
Practice Address - State:NC
Practice Address - Zip Code:28584-8437
Practice Address - Country:US
Practice Address - Phone:252-722-9992
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-22
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health