Provider Demographics
NPI:1962821660
Name:PARRIGIN, TAMMY J (LPCC)
Entity Type:Individual
Prefix:
First Name:TAMMY
Middle Name:J
Last Name:PARRIGIN
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:TAMMY
Other - Middle Name:JO
Other - Last Name:WATTERS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPCC
Mailing Address - Street 1:PO BOX 1080
Mailing Address - Street 2:
Mailing Address - City:BURKESVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:42717-1080
Mailing Address - Country:US
Mailing Address - Phone:270-864-1472
Mailing Address - Fax:270-864-1693
Practice Address - Street 1:1025 S MAIN ST
Practice Address - Street 2:
Practice Address - City:MONTICELLO
Practice Address - State:KY
Practice Address - Zip Code:42633-2762
Practice Address - Country:US
Practice Address - Phone:606-340-8870
Practice Address - Fax:606-340-8870
Is Sole Proprietor?:No
Enumeration Date:2014-04-09
Last Update Date:2022-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY103083101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100558620Medicaid