Provider Demographics
NPI:1275967473
Name:HOUGH, TAMI (LPC)
Entity Type:Individual
Prefix:
First Name:TAMI
Middle Name:
Last Name:HOUGH
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 655
Mailing Address - Street 2:
Mailing Address - City:ROSCOMMON
Mailing Address - State:MI
Mailing Address - Zip Code:48653-0655
Mailing Address - Country:US
Mailing Address - Phone:989-505-6591
Mailing Address - Fax:888-273-4977
Practice Address - Street 1:709 LAKE ST
Practice Address - Street 2:
Practice Address - City:ROSCOMMON
Practice Address - State:MI
Practice Address - Zip Code:48653-7665
Practice Address - Country:US
Practice Address - Phone:989-505-6591
Practice Address - Fax:888-273-4977
Is Sole Proprietor?:No
Enumeration Date:2013-08-25
Last Update Date:2023-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401010822101YA0400X, 101YM0800X, 101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health