Provider Demographics
NPI:1629418652
Name:TOLLIVER, TAMIA (MS)
Entity Type:Individual
Prefix:MS
First Name:TAMIA
Middle Name:
Last Name:TOLLIVER
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:404 BNA DR
Mailing Address - Street 2:STE 110
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37217-2517
Mailing Address - Country:US
Mailing Address - Phone:615-568-7918
Mailing Address - Fax:
Practice Address - Street 1:404 BNA DR
Practice Address - Street 2:STE 110
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37217-2517
Practice Address - Country:US
Practice Address - Phone:615-568-7918
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-05
Last Update Date:2014-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health