Provider Demographics
NPI:1467782680
Name:ROME, TAMMY L (LCPC LPC, LCMHC)
Entity Type:Individual
Prefix:MS
First Name:TAMMY
Middle Name:L
Last Name:ROME
Suffix:
Gender:F
Credentials:LCPC LPC, LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7850 N SILVERBELL RD STE 214
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85743-8219
Mailing Address - Country:US
Mailing Address - Phone:520-314-7305
Mailing Address - Fax:
Practice Address - Street 1:8351 N DOUGLAS FIR DR
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85743-7293
Practice Address - Country:US
Practice Address - Phone:520-314-7305
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-01-11
Last Update Date:2023-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA115058101YM0800X
FLTPMC1928101YP2500X
VT068.0134710TELE101YM0800X
KS03224101YP2500X
UT13244075-6004101YP2500X
AZLPC-20993101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health