Provider Demographics
NPI:1770630204
Name:MARKOWSKI, TAMATHA L (MED, NCC, LPC)
Entity Type:Individual
Prefix:MRS
First Name:TAMATHA
Middle Name:L
Last Name:MARKOWSKI
Suffix:
Gender:F
Credentials:MED, NCC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1430 OLIVE ST.
Mailing Address - Street 2:STE 400
Mailing Address - City:ST. LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63103-2303
Mailing Address - Country:US
Mailing Address - Phone:314-285-8768
Mailing Address - Fax:
Practice Address - Street 1:1430 OLIVE ST.
Practice Address - Street 2:SUITE 400
Practice Address - City:ST. LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63103-2303
Practice Address - Country:US
Practice Address - Phone:314-703-8945
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-05
Last Update Date:2023-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO001975101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional