Provider Demographics
NPI:1932815032
Name:FRANEK, TAMMY A (LPC)
Entity Type:Individual
Prefix:
First Name:TAMMY
Middle Name:A
Last Name:FRANEK
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15068 W STATE HIGHWAY 8
Mailing Address - Street 2:
Mailing Address - City:POTOSI
Mailing Address - State:MO
Mailing Address - Zip Code:63664-1686
Mailing Address - Country:US
Mailing Address - Phone:573-701-8480
Mailing Address - Fax:
Practice Address - Street 1:15068 W STATE HIGHWAY 8
Practice Address - Street 2:
Practice Address - City:POTOSI
Practice Address - State:MO
Practice Address - Zip Code:63664-1686
Practice Address - Country:US
Practice Address - Phone:573-701-8480
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-24
Last Update Date:2023-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO002538101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional