Provider Demographics
NPI:1598055972
Name:ABSHIRE, TAMMI L (CADC)
Entity Type:Individual
Prefix:MS
First Name:TAMMI
Middle Name:L
Last Name:ABSHIRE
Suffix:
Gender:F
Credentials:CADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 219
Mailing Address - Street 2:
Mailing Address - City:SCHURZ
Mailing Address - State:NV
Mailing Address - Zip Code:89427-0219
Mailing Address - Country:US
Mailing Address - Phone:775-773-2005
Mailing Address - Fax:775-773-2195
Practice Address - Street 1:1025 HOSPITAL RD
Practice Address - Street 2:
Practice Address - City:SCHURZ
Practice Address - State:NV
Practice Address - Zip Code:89427
Practice Address - Country:US
Practice Address - Phone:775-773-2005
Practice Address - Fax:775-773-2012
Is Sole Proprietor?:No
Enumeration Date:2011-04-19
Last Update Date:2011-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVCADC 431-I101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)