Provider Demographics
NPI:1205989860
Name:ZWARST, TAMMY LYNN (MA, LPC, LMFT)
Entity type:Individual
Prefix:
First Name:TAMMY
Middle Name:LYNN
Last Name:ZWARST
Suffix:
Gender:F
Credentials:MA, LPC, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1221 CEDAR DR
Mailing Address - Street 2:PO BOX 907
Mailing Address - City:LA MARQUE
Mailing Address - State:TX
Mailing Address - Zip Code:77568-3931
Mailing Address - Country:US
Mailing Address - Phone:281-728-6973
Mailing Address - Fax:409-938-1713
Practice Address - Street 1:1221 CEDAR DR
Practice Address - Street 2:
Practice Address - City:LA MARQUE
Practice Address - State:TX
Practice Address - Zip Code:77568-3931
Practice Address - Country:US
Practice Address - Phone:281-728-6973
Practice Address - Fax:409-938-1713
Is Sole Proprietor?:No
Enumeration Date:2007-01-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15193101YP2500X
TX4965106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX83792LOtherBLUE CROSS BLUE SHIELD TX