Provider Demographics
NPI:1376387563
Name:ZINK, TAMMY MARIE (MSW, SWLC, ACLC)
Entity type:Individual
Prefix:
First Name:TAMMY
Middle Name:MARIE
Last Name:ZINK
Suffix:
Gender:F
Credentials:MSW, SWLC, ACLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 KASOTA CT
Mailing Address - Street 2:
Mailing Address - City:MISSOULA
Mailing Address - State:MT
Mailing Address - Zip Code:59803-1257
Mailing Address - Country:US
Mailing Address - Phone:406-880-7986
Mailing Address - Fax:
Practice Address - Street 1:4 KASOTA CT
Practice Address - Street 2:
Practice Address - City:MISSOULA
Practice Address - State:MT
Practice Address - Zip Code:59803-1257
Practice Address - Country:US
Practice Address - Phone:406-880-7986
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-21
Last Update Date:2025-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTBBH-ACLC-LIC-72974101YA0400X
MTBBH-SWLC-LIC-646541041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)