Provider Demographics
NPI:1417208026
Name:TANTRUM, BARBARA CUMMINS (MA, LMHC)
Entity Type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:CUMMINS
Last Name:TANTRUM
Suffix:
Gender:F
Credentials:MA, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1501 N 200TH ST STE 105
Mailing Address - Street 2:
Mailing Address - City:SHORELINE
Mailing Address - State:WA
Mailing Address - Zip Code:98133-3301
Mailing Address - Country:US
Mailing Address - Phone:206-579-3374
Mailing Address - Fax:
Practice Address - Street 1:1501 N 200TH ST STE 105
Practice Address - Street 2:
Practice Address - City:SHORELINE
Practice Address - State:WA
Practice Address - Zip Code:98133-3301
Practice Address - Country:US
Practice Address - Phone:206-910-7655
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-21
Last Update Date:2023-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH60492670101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health