Provider Demographics
NPI:1326672049
Name:BARNES, TAMMY I (LPC-MHSP, NCC)
Entity Type:Individual
Prefix:
First Name:TAMMY
Middle Name:I
Last Name:BARNES
Suffix:
Gender:F
Credentials:LPC-MHSP, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:403 UPTOWN SQ STE F
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37129-0575
Mailing Address - Country:US
Mailing Address - Phone:615-598-1105
Mailing Address - Fax:
Practice Address - Street 1:403 UPTOWN SQ STE F
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37129-0575
Practice Address - Country:US
Practice Address - Phone:615-598-1105
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-03
Last Update Date:2020-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN4759101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health