Provider Demographics
NPI:1699353631
Name:TIRMAN, THOMAS (NCC, LCAC, TEMP-LMHC)
Entity Type:Individual
Prefix:
First Name:THOMAS
Middle Name:
Last Name:TIRMAN
Suffix:
Gender:M
Credentials:NCC, LCAC, TEMP-LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 WINDING WAY
Mailing Address - Street 2:
Mailing Address - City:ANDERSON
Mailing Address - State:IN
Mailing Address - Zip Code:46011-2261
Mailing Address - Country:US
Mailing Address - Phone:317-603-0012
Mailing Address - Fax:
Practice Address - Street 1:1106 MERIDIAN ST STE 465
Practice Address - Street 2:
Practice Address - City:ANDERSON
Practice Address - State:IN
Practice Address - Zip Code:46016-6015
Practice Address - Country:US
Practice Address - Phone:765-210-1061
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-31
Last Update Date:2021-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral