Individual provider · Type 1 NPI

Tamika Fagan, CBCS, CCHT, NHA

Community/Behavioral Health Agency · Rocky Mount, NC

NPI number 1083587042 Active

Practice location

1225 Manor Dr
Rocky Mount, NC 27804-4613

Specialties and licenses

TaxonomyCodeLicense
Clinical Child & Adolescent Psychologist 103TC2200XS4L8A5R7 (NC)
Community/Behavioral Health Agency Primary 251S00000X1138009113 (NC)
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000XNone listed
Nurse's Aide 376K00000XNone listed
Urgent Care Clinic/Center 261QU0200XNone listed
Community/Behavioral Health Agency 251S00000XNone listed
Personal Emergency Response Attendant 146D00000X566993 (NC)
Child Mental Illness Respite Care 385HR2055XNone listed
Respite Care 385H00000XNone listed
Non-emergency Medical Transport (VAN) 343900000XNone listed
Mental Health Counselor 101YM0800XNone listed
Assisted Living Facility (Behavioral Disturbances) 3104A0630XNone listed
Transportation Broker 347E00000XNone listed
Health & Wellness Coach 171400000XNone listed

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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About NPI 1083587042

Tamika Fagan, CBCS, CCHT, NHA's National Provider Identifier is 1083587042, issued on Sep 25, 2025. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Rocky Mount, NC. The record was last updated on Jan 29, 2026.