Provider Demographics
NPI:1932488319
Name:ALLMAN, TAMITHA MICHELLE (MA, LPC)
Entity Type:Individual
Prefix:MS
First Name:TAMITHA
Middle Name:MICHELLE
Last Name:ALLMAN
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22190 GARRISON ST STE 204
Mailing Address - Street 2:
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48124-2235
Mailing Address - Country:US
Mailing Address - Phone:248-277-0962
Mailing Address - Fax:
Practice Address - Street 1:28041 SELKIRK ST
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48076-3056
Practice Address - Country:US
Practice Address - Phone:313-629-2019
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-16
Last Update Date:2023-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YP2500X
MIL2000973101YP2500X
MI6401222668101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional