Provider Demographics
NPI:1831976786
Name:LIGHTY, TAMARA F
Entity type:Individual
Prefix:
First Name:TAMARA
Middle Name:F
Last Name:LIGHTY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1320 CLIFFORD BROWN WALK UNIT 210
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19801-3150
Mailing Address - Country:US
Mailing Address - Phone:302-983-3471
Mailing Address - Fax:
Practice Address - Street 1:262 CHAPMAN RD STE 203
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19702-5442
Practice Address - Country:US
Practice Address - Phone:302-689-3562
Practice Address - Fax:302-294-1757
Is Sole Proprietor?:No
Enumeration Date:2023-09-13
Last Update Date:2023-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor