Provider Demographics
NPI:1457121089
Name:TAMMY WHITTEN MS LMFT CFLE PLLC
Entity Type:Organization
Organization Name:TAMMY WHITTEN MS LMFT CFLE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CLINICIAN
Authorized Official - Prefix:
Authorized Official - First Name:TAMMY
Authorized Official - Middle Name:
Authorized Official - Last Name:WHITTEN
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:252-329-9359
Mailing Address - Street 1:3483 EVANS ST STE B
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27834-4529
Mailing Address - Country:US
Mailing Address - Phone:252-320-9359
Mailing Address - Fax:
Practice Address - Street 1:3483 EVANS ST STE B
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27834-4529
Practice Address - Country:US
Practice Address - Phone:252-320-9359
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-04
Last Update Date:2024-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty