Tamara Willard
Tamara Willard is a healthcare organization registered as Community/Behavioral Health Agency in Myrtle Beach, SC, holding Type 2 (organization) NPI 1215462742 since 2017. The authorized official on file is Tamara Willard, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1215462742 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Tamara Willard |
| Practice address | 4221 MAYFAIR ST, Myrtle Beach, SC, 29577 |
| Phone | 8433609491 |
| Enumeration date | 2017-04-21 |
| Last updated in NPPES | 2017-04-21 |
Authorized official
| Name | Tamara Willard |
|---|---|
| Title | Owner |
| Phone | 8433609491 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health Agency | Primary | 4859 | SC |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PC1117 | Medicaid | SC | — |
Copy-ready billing details
Provider: Tamara Willard NPI: 1215462742 Taxonomy: 251S00000X (Community/Behavioral Health Agency) Address: 4221 MAYFAIR ST, Myrtle Beach, SC, 29577
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1235146531 | Franklin Smith | Individual | Optometrist | Myrtle Beach, SC |
| 1518138742 | Tamara Willard | Individual | Mental Health Counselor | Myrtle Beach, SC |
| 1588995799 | Lavonda Knox | Individual | Mental Health Counselor | Myrtle Beach, SC |
| 1225392442 | A New Direction Counseling LLC | Organization | Professional Counselor | Myrtle Beach, SC |
| 1386980910 | Elizabeth Nixon, Lpc | Organization | Mental Health Counselor | Myrtle Beach, SC |
| 1770144651 | Sean Cronauer | Individual | Optometrist | Myrtle Beach, SC |
| 1871154757 | Stacey Krings Cronauer | Individual | Optometrist | Myrtle Beach, SC |
| 1033737994 | Haydee Sencion | Individual | Professional Counselor | Myrtle Beach, SC |
Verify this record
Cross-check NPI 1215462742 against the authoritative CMS record: view Tamara Willard on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Tamara Willard?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2017-04-21.