Provider Demographics
NPI:1376385336
Name:PARRISH, TAMMY FRERICH (LPC-A)
Entity type:Individual
Prefix:
First Name:TAMMY
Middle Name:FRERICH
Last Name:PARRISH
Suffix:
Gender:F
Credentials:LPC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 669
Mailing Address - Street 2:
Mailing Address - City:MENARD
Mailing Address - State:TX
Mailing Address - Zip Code:76859-0669
Mailing Address - Country:US
Mailing Address - Phone:325-869-5500
Mailing Address - Fax:855-634-9302
Practice Address - Street 1:119 S ELLIS ST.
Practice Address - Street 2:
Practice Address - City:MENARD
Practice Address - State:TX
Practice Address - Zip Code:76859-0889
Practice Address - Country:US
Practice Address - Phone:325-396-4612
Practice Address - Fax:325-396-2055
Is Sole Proprietor?:No
Enumeration Date:2024-06-11
Last Update Date:2024-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX93679101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional