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

Tadana Prayer Jennette

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1083082689

Tadana Prayer Jennette is an Addiction (Substance Use Disorder) Counselor in Greenville, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2015
Specialties on file
3

Practice location Address checks out

620 Lynndale Ct Ste C
Greenville, NC 27858-5462
Phone: (252) 814-5564
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 12098 (NC)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 3567 (NC)
Professional Counselor Taxonomy 101YP2500X · Licence A12098 (NC)

Record details

NPI number1083082689
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 14, 2015
Last updated in NPPESOctober 15, 2021
Certification dateOctober 15, 2021

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