Provider Demographics
NPI:1801366109
Name:TAMMY BAUMGARTEL
Entity Type:Organization
Organization Name:TAMMY BAUMGARTEL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:TAMMY
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:BAUMGARTEL
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC
Authorized Official - Phone:740-698-0601
Mailing Address - Street 1:PO BOX 207
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:OH
Mailing Address - Zip Code:45710-0207
Mailing Address - Country:US
Mailing Address - Phone:740-698-0601
Mailing Address - Fax:740-888-0315
Practice Address - Street 1:5550 ENNIS RD
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:OH
Practice Address - Zip Code:45710-9259
Practice Address - Country:US
Practice Address - Phone:740-698-0601
Practice Address - Fax:740-888-0315
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-29
Last Update Date:2018-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Multi-Specialty