| Doctor Name: | TAMMIE SUE MCKELVY |
| NPI Number: | 1760750335 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC |
| License Number: | 13474 |
| Business Practice Address: | 202 N Victor St Suite B Comanche, TX - 764422682 |
| Business Phone Number: | 3253303500 |
| Business Fax Number: | 3253561459 |
| Mailing Address: | 202 N Victor St, Suite B COMANCHE |
| State: | TX |
| Postal Code: | 764422682 |
| Phone Number: | 3253303500 |
| Fax Number: | 3253561459 |
| NPI Enumeration Date: | 12/09/2011 |
| NPI Last Update Date: | 12/09/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 13474 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |