Provider Demographics
NPI:1831072941
Name:CAROLINA WOMEN'S PSYCHIATRY, PLLC
Entity type:Organization
Organization Name:CAROLINA WOMEN'S PSYCHIATRY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER/ CEO
Authorized Official - Prefix:
Authorized Official - First Name:TARA
Authorized Official - Middle Name:
Authorized Official - Last Name:NATE
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP-BC
Authorized Official - Phone:910-265-4897
Mailing Address - Street 1:PO BOX 572
Mailing Address - Street 2:
Mailing Address - City:SNEADS FERRY
Mailing Address - State:NC
Mailing Address - Zip Code:28460-0572
Mailing Address - Country:US
Mailing Address - Phone:910-265-4897
Mailing Address - Fax:
Practice Address - Street 1:142 SHELLBANK DR
Practice Address - Street 2:
Practice Address - City:SNEADS FERRY
Practice Address - State:NC
Practice Address - Zip Code:28460-9539
Practice Address - Country:US
Practice Address - Phone:910-265-4897
Practice Address - Fax:910-265-4897
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-28
Last Update Date:2025-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty