| Doctor Name: | TIA D. BUCHANAN |
| NPI Number: | 1598061855 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.A., L.C.C.C. |
| License Number: | 13741 |
| Business Practice Address: | 3111 Expedition Dr C/o Acorns N Bones Dalzell, SC - 290408377 |
| Business Phone Number: | 8034694363 |
| Business Fax Number: | |
| Mailing Address: | 3111 Expedition Dr, C/o Acorns N Bones DALZELL |
| State: | SC |
| Postal Code: | 290408377 |
| Phone Number: | 8034694363 |
| Fax Number: | |
| NPI Enumeration Date: | 02/03/2011 |
| NPI Last Update Date: | 02/03/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP1600X |
| License Number: | 13741 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Pastoral |
| Taxonomy Definition: | |