Provider Demographics
NPI:1407267578
Name:TAMAR GROUP LLC
Entity type:Organization
Organization Name:TAMAR GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ROSLYN
Authorized Official - Middle Name:I
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:LPC-S
Authorized Official - Phone:601-966-0167
Mailing Address - Street 1:350 W WOODROW WILSON AVE STE 3572
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:MS
Mailing Address - Zip Code:39213-7682
Mailing Address - Country:US
Mailing Address - Phone:769-251-5303
Mailing Address - Fax:769-251-5681
Practice Address - Street 1:350 W WOODROW WILSON AVE STE 3572
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:MS
Practice Address - Zip Code:39213-7682
Practice Address - Country:US
Practice Address - Phone:769-251-5303
Practice Address - Fax:769-251-5681
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-12
Last Update Date:2025-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS1251101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty