Provider Demographics
NPI:1689019119
Name:O'NEIL, TAMIE LEE (LMHC)
Entity Type:Individual
Prefix:MRS
First Name:TAMIE
Middle Name:LEE
Last Name:O'NEIL
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 1:588 CURRYTOWN RD
Mailing Address - Street 2:
Mailing Address - City:SPRAKERS
Mailing Address - State:NY
Mailing Address - Zip Code:12166-4206
Mailing Address - Country:US
Mailing Address - Phone:518-673-1079
Mailing Address - Fax:
Practice Address - Street 1:2280 WESTERN AVE
Practice Address - Street 2:
Practice Address - City:GUILDERLAND
Practice Address - State:NY
Practice Address - Zip Code:12084-9206
Practice Address - Country:US
Practice Address - Phone:518-456-5056
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-05-10
Last Update Date:2013-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY005537101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health