Doctor Name: | MRS. TAMMY SARAH COMMONS |
NPI Number: | 1053558114 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMFT |
License Number: | MH8101 |
Business Practice Address: | 128 Evening Star Dr Apex, NC - 275024028 |
Business Phone Number: | 9546996805 |
Business Fax Number: | |
Mailing Address: | 128 Evening Star Dr, APEX |
State: | NC |
Postal Code: | 275024028 |
Phone Number: | 9546996805 |
Fax Number: | |
NPI Enumeration Date: | 01/12/2009 |
NPI Last Update Date: | 02/25/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | MH8101 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |