Provider Demographics
NPI:1598139354
Name:OOMMEN, TAMI (LMHC)
Entity Type:Individual
Prefix:MRS
First Name:TAMI
Middle Name:
Last Name:OOMMEN
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2310 SE 2ND ST
Mailing Address - Street 2:SUITE 7
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33435-7280
Mailing Address - Country:US
Mailing Address - Phone:561-336-2162
Mailing Address - Fax:561-336-2258
Practice Address - Street 1:2310 SE 2ND ST
Practice Address - Street 2:SUITE 7
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33435-7280
Practice Address - Country:US
Practice Address - Phone:561-336-2162
Practice Address - Fax:561-336-2258
Is Sole Proprietor?:No
Enumeration Date:2015-11-17
Last Update Date:2015-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH10830101YA0400X, 101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional