Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ajah Ashanti Thacker

Individual provider Case Manager/Care Coordinator · NPI 1205489960

Ajah Ashanti Thacker is a Case Manager/Care Coordinator in Simpsonville, South Carolina. Licensed in South Carolina. Registered with an NPI since 2019.

Licensed in
SC
In the registry since
2019
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Practice location Address checks out

309 SE Main St Ste 207
Simpsonville, SC 29681-2696
Phone: (864) 349-6390
Fax: (864) 676-9187
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X (SC)

Record details

NPI number1205489960
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 22, 2019
Last updated in NPPESJuly 22, 2019
Mailing address309 Se Main St Ste 207, Simpsonville, SC 29681-2696

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