Doctor Name: | MRS. TAMMY ALICE MUIR |
NPI Number: | 1346338829 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.P.C. |
License Number: | 0701003656 |
Business Practice Address: | 2331 Front St Richlands, VA - 246412213 |
Business Phone Number: | 2769646674 |
Business Fax Number: | 2769646674 |
Mailing Address: | 1923 Front St, P.o. Box 421 RICHLANDS |
State: | VA |
Postal Code: | 246412350 |
Phone Number: | 2769646674 |
Fax Number: | 2769646674 |
NPI Enumeration Date: | 10/10/2006 |
NPI Last Update Date: | 02/22/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 0701003656 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |