Provider Demographics
NPI:1619178118
Name:BRANNEN, TAMMY LORINDA (LCSW, CD)
Entity Type:Individual
Prefix:MRS
First Name:TAMMY
Middle Name:LORINDA
Last Name:BRANNEN
Suffix:
Gender:F
Credentials:LCSW, CD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1304 LOCH MOUNT DR
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:CO
Mailing Address - Zip Code:80537-4539
Mailing Address - Country:US
Mailing Address - Phone:970-342-5440
Mailing Address - Fax:
Practice Address - Street 1:150 E 29TH ST STE 215
Practice Address - Street 2:
Practice Address - City:LOVELAND
Practice Address - State:CO
Practice Address - Zip Code:80538-2765
Practice Address - Country:US
Practice Address - Phone:970-342-5440
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-30
Last Update Date:2023-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO6319374J00000X
CO1441041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No374J00000XNursing Service Related ProvidersDoula