Mrs Tamika Fagan, CBCS, CCHT,NHA is a
Community/behavioral Health based in Rocky Mount, North Carolina. Mrs Tamika Fagan is licensed to practice in North Carolina (license number 1138009113) and her current practice location is
1225 Manor Dr, Rocky Mount, North Carolina. She can be reached at her office (for appointments etc.) via phone at
(984) 833-7423.
NPI number for Mrs Tamika Fagan is 1083587042 and her current mailing address is 1225 Manor Dr, Rocky Mount, North Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1083587042.
Healthcare Provider's Profile
| Full Name | Mrs Tamika Fagan |
|---|
| Gender | Female |
|---|
| Speciality | Community/behavioral Health |
|---|
| Location | 1225 Manor Dr, Rocky Mount, North Carolina |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1083587042
- Provider Enumeration Date: 09/25/2025
- Last Update Date: 01/29/2026
Medical Identifiers
Medical identifiers for Mrs Tamika Fagan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1083587042 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC2200X | Psychologist - Clinical Child & Adolescent | S4L8A5R7 (North Carolina) | Secondary |
| 251S00000X | Community/behavioral Health | 1138009113 (North Carolina) | Primary |
| 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | (North Carolina) | Secondary |
| 376K00000X | Nurse's Aide | (North Carolina) | Secondary |
| 261QU0200X | Clinic/center - Urgent Care | (North Carolina) | Secondary |
| 251S00000X | Community/behavioral Health | (North Carolina) | Secondary |
| 146D00000X | Personal Emergency Response Attendant | 566993 (North Carolina) | Secondary |
| 385HR2055X | Respite Care - Respite Care, Mental Illness, Child | (North Carolina) | Secondary |
| 385H00000X | Respite Care | (North Carolina) | Secondary |
| 343900000X | Non-emergency Medical Transport (van) | (North Carolina) | Secondary |
| 101YM0800X | Counselor - Mental Health | (North Carolina) | Secondary |
| 3104A0630X | Assisted Living Facility - Assisted Living, Behavioral Disturbances | (North Carolina) | Secondary |
| 347E00000X | Transportation Broker | (North Carolina) | Secondary |
| 171400000X | Health & Wellness Coach | (North Carolina) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Tamika Fagan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mrs Tamika Fagan, CBCS, CCHT,NHA
1225 Manor Dr,
Rocky Mount, NC 27804-4613
Ph: (984) 833-7423 | Mrs Tamika Fagan, CBCS, CCHT,NHA
1225 Manor Dr,
Rocky Mount, NC 27804-4613
Ph: (984) 833-7423 |
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