Provider Demographics
NPI:1740722792
Name:TARMANN, PHILLIP (MA, LPCC, LADC)
Entity type:Individual
Prefix:
First Name:PHILLIP
Middle Name:
Last Name:TARMANN
Suffix:
Gender:
Credentials:MA, LPCC, LADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:116 SUMNER ST E
Mailing Address - Street 2:
Mailing Address - City:NORTHFIELD
Mailing Address - State:MN
Mailing Address - Zip Code:55057-2840
Mailing Address - Country:US
Mailing Address - Phone:507-321-0995
Mailing Address - Fax:
Practice Address - Street 1:116 SUMNER ST E
Practice Address - Street 2:
Practice Address - City:NORTHFIELD
Practice Address - State:MN
Practice Address - Zip Code:55057-2840
Practice Address - Country:US
Practice Address - Phone:507-321-0995
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-11-08
Last Update Date:2025-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN303728101YA0400X
MN1808101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)