Provider Demographics
NPI:1669450565
Name:WILLIAMS, TAMMIE CHARRON (LCSW)
Entity Type:Individual
Prefix:MS
First Name:TAMMIE
Middle Name:CHARRON
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1650 S IRIS WAY
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80232-6348
Mailing Address - Country:US
Mailing Address - Phone:303-891-8100
Mailing Address - Fax:
Practice Address - Street 1:777 S WADSWORTH BLVD
Practice Address - Street 2:BUILDING 2, SUITE 104
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80226-4300
Practice Address - Country:US
Practice Address - Phone:303-891-8100
Practice Address - Fax:303-914-9307
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCO 989542101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health