Provider Demographics
NPI:1356935522
Name:STRICKLAND, TANGALEY RENA
Entity type:Individual
Prefix:
First Name:TANGALEY
Middle Name:RENA
Last Name:STRICKLAND
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 1:169 BALLPARK RD
Mailing Address - Street 2:
Mailing Address - City:SOPERTON
Mailing Address - State:GA
Mailing Address - Zip Code:30457-4309
Mailing Address - Country:US
Mailing Address - Phone:478-331-8159
Mailing Address - Fax:
Practice Address - Street 1:7130 HODGSON DR
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31406-1526
Practice Address - Country:US
Practice Address - Phone:912-335-3490
Practice Address - Fax:912-335-3490
Is Sole Proprietor?:No
Enumeration Date:2021-02-26
Last Update Date:2021-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACSW0073611041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical