IndividualActive
Shawnta' Tisdale
NPI 1235162553 · Counselor · Conway, SC
Shawnta' Tisdale is a Counselor provider in Conway, SC (NPI 1235162553).
Provider details
- NPI number
- 1235162553
- Entity type
- Individual
- Primary specialty
- CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
164 Waccamaw Medical Park Dr
Conway, SC 29526-8903
Phone: (843) 347-5060
Street-level locationGet directions
Mailing address
1184 Sumter Hwy
Kingstree, SC 29556-4951
Registry dates
- Enumerated
- 2006-07-09
- Last updated
- 2007-07-08
Frequently asked questions
- What is Shawnta' Tisdale's NPI number?
- Shawnta' Tisdale's National Provider Identifier (NPI) is 1235162553, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shawnta' Tisdale's specialty?
- Shawnta' Tisdale is listed in the NPPES registry with a primary specialty of Counselor (Behavioral Health & Social Service Providers).
- Where is Shawnta' Tisdale located?
- Shawnta' Tisdale's practice location on file with NPPES is 164 Waccamaw Medical Park Dr, Conway, SC 29526-8903.
- What is Shawnta' Tisdale's phone number?
- The practice phone number listed in the NPPES registry for Shawnta' Tisdale is (843) 347-5060.
- Is Shawnta' Tisdale's NPI active?
- Yes — Shawnta' Tisdale's NPI (1235162553) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.