Provider Demographics
NPI:1659840163
Name:JAMES, TAMARA (LMFT)
Entity Type:Individual
Prefix:
First Name:TAMARA
Middle Name:
Last Name:JAMES
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 3RD ST STE 2
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:KY
Mailing Address - Zip Code:42420-2904
Mailing Address - Country:US
Mailing Address - Phone:270-860-0637
Mailing Address - Fax:
Practice Address - Street 1:210 3RD ST STE 2
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:KY
Practice Address - Zip Code:42420-2904
Practice Address - Country:US
Practice Address - Phone:270-860-0637
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-11-14
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN35002019A106H00000X
KY174016106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist