Provider Demographics
NPI:1396915161
Name:STADLEN, TAMI LENTIN (LMHC)
Entity type:Individual
Prefix:MRS
First Name:TAMI
Middle Name:LENTIN
Last Name:STADLEN
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15490 NW 7TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33169-6250
Mailing Address - Country:US
Mailing Address - Phone:305-685-8245
Mailing Address - Fax:305-681-4355
Practice Address - Street 1:1152 N UNIVERSITY DR STE 200
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33024-5012
Practice Address - Country:US
Practice Address - Phone:954-962-1225
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-03-07
Last Update Date:2019-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH 4652101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health