Provider Demographics
NPI:1578216099
Name:CHITWOOD, TAMMETTE
Entity Type:Individual
Prefix:
First Name:TAMMETTE
Middle Name:
Last Name:CHITWOOD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:TAMMETTE
Other - Middle Name:
Other - Last Name:LEINWEBER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1400 114TH AVE SE
Mailing Address - Street 2:STE 100
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98004-6453
Mailing Address - Country:US
Mailing Address - Phone:971-801-2054
Mailing Address - Fax:
Practice Address - Street 1:1400 114TH AVE SE
Practice Address - Street 2:STE 100
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98004-6453
Practice Address - Country:US
Practice Address - Phone:971-801-2054
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-03
Last Update Date:2023-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health