Provider Demographics
NPI:1194458661
Name:TAMMY EVAMS MS LPCS PLLC
Entity Type:Organization
Organization Name:TAMMY EVAMS MS LPCS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:TAMMY
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:EVANS
Authorized Official - Suffix:
Authorized Official - Credentials:MS LPCS
Authorized Official - Phone:918-650-3973
Mailing Address - Street 1:207 N E ST
Mailing Address - Street 2:
Mailing Address - City:HENRYETTA
Mailing Address - State:OK
Mailing Address - Zip Code:74437-8004
Mailing Address - Country:US
Mailing Address - Phone:918-650-3973
Mailing Address - Fax:
Practice Address - Street 1:207 N E ST
Practice Address - Street 2:
Practice Address - City:HENRYETTA
Practice Address - State:OK
Practice Address - Zip Code:74437-8004
Practice Address - Country:US
Practice Address - Phone:918-650-3973
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-02
Last Update Date:2022-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty