Provider Demographics
NPI:1528002888
Name:LITTLEJOHN, TAMMY RIGGS (MA, LMFT)
Entity Type:Individual
Prefix:
First Name:TAMMY
Middle Name:RIGGS
Last Name:LITTLEJOHN
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:TAMMY
Other - Middle Name:FAYE
Other - Last Name:RIGGS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 718
Mailing Address - Street 2:
Mailing Address - City:DAVIDSON
Mailing Address - State:NC
Mailing Address - Zip Code:28036-0718
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:233 S MAIN ST
Practice Address - Street 2:
Practice Address - City:DAVIDSON
Practice Address - State:NC
Practice Address - Zip Code:28036-8039
Practice Address - Country:US
Practice Address - Phone:704-892-6135
Practice Address - Fax:704-892-5029
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC806106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC138AKOtherBLUECROSS BLUESHIELD