Doctor Name: | MS. TAMALA KAY DICKEY |
NPI Number: | 1982706537 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMSW |
License Number: | 6801087381 |
Business Practice Address: | 3600 S Dort Hwy Suite 46 Flint, MI - 48507 |
Business Phone Number: | 8107670350 |
Business Fax Number: | 8107674031 |
Mailing Address: | 508 Fremont St, FLINT |
State: | MI |
Postal Code: | 48504 |
Phone Number: | 8107680021 |
Fax Number: | |
NPI Enumeration Date: | 09/03/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 6801087381 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
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 |