Doctor Name: | MS. TAMMY LITTLES |
NPI Number: | 1861683922 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 3729 |
Business Practice Address: | 425 Grantham Rd Irmo, SC - 290632417 |
Business Phone Number: | 8034665223 |
Business Fax Number: | 8662636551 |
Mailing Address: | 425 Grantham Rd, IRMO |
State: | SC |
Postal Code: | 290632417 |
Phone Number: | 8034665223 |
Fax Number: | 8662636551 |
NPI Enumeration Date: | 08/05/2007 |
NPI Last Update Date: | 08/05/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 3729 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |