Provider Demographics
NPI:1508381724
Name:DUGGINS, TINA MARIE (LMFT A)
Entity Type:Individual
Prefix:MRS
First Name:TINA
Middle Name:MARIE
Last Name:DUGGINS
Suffix:
Gender:F
Credentials:LMFT A
Other - Prefix:
Other - First Name:TINA
Other - Middle Name:MARIE
Other - Last Name:MORSOVILLO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6705 HOSWICK CT
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28306-8509
Mailing Address - Country:US
Mailing Address - Phone:910-797-5562
Mailing Address - Fax:
Practice Address - Street 1:1611B OWEN DR # 4835884
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28304-3425
Practice Address - Country:US
Practice Address - Phone:910-483-5884
Practice Address - Fax:910-483-5864
Is Sole Proprietor?:No
Enumeration Date:2017-08-09
Last Update Date:2020-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC12041A106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist