| Tammy Whitten Ms Lmft Cfle Pllc | |
|
3483 Evans St Ste B Greenville NC 27834-4529 | |
| (252) 320-9359 | |
| Not Available |
| Full Name | Tammy Whitten Ms Lmft Cfle Pllc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 3483 Evans St Ste B, Greenville, North Carolina |
| Authorized Official Name and Position | Tammy Whitten (OWNER/CLINICIAN) |
| Authorized Official Contact | 2523209359 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tammy Whitten Ms Lmft Cfle Pllc 3483 Evans St Ste B Greenville NC 27834-4529 Ph: (252) 320-9359 | Tammy Whitten Ms Lmft Cfle Pllc 3483 Evans St Ste B Greenville NC 27834-4529 Ph: (252) 320-9359 |
| NPI Number | 1457121089 |
|---|---|
| Provider Enumeration Date | 01/04/2024 |
| Last Update Date | 06/20/2024 |
| Certification Date | 06/20/2024 |
| Medicare PECOS PAC ID | 2163866658 |
|---|---|
| Medicare Enrollment ID | O20240223001411 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457121089 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| Provider Name | Tamara Jo Whitten |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1467772905 PECOS PAC ID: 3072957562 Enrollment ID: I20240223001689 |
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