Provider Demographics
NPI:1376790469
Name:TARVER, TAMARA ANN (LMFT, MAC, Q-SAP)
Entity Type:Individual
Prefix:MRS
First Name:TAMARA
Middle Name:ANN
Last Name:TARVER
Suffix:
Gender:F
Credentials:LMFT, MAC, Q-SAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:222 PARKWAY
Mailing Address - Street 2:
Mailing Address - City:SEVIERVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37862-3429
Mailing Address - Country:US
Mailing Address - Phone:865-386-4183
Mailing Address - Fax:865-365-4144
Practice Address - Street 1:222 PARKWAY
Practice Address - Street 2:
Practice Address - City:SEVIERVILLE
Practice Address - State:TN
Practice Address - Zip Code:37862-3429
Practice Address - Country:US
Practice Address - Phone:865-386-4183
Practice Address - Fax:865-365-4144
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-20
Last Update Date:2013-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN791106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist