Provider Demographics
NPI:1982926911
Name:CAUTHEN, TAMMY EDWARDS (LPC)
Entity Type:Individual
Prefix:
First Name:TAMMY
Middle Name:EDWARDS
Last Name:CAUTHEN
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 1:4398 LONGWOOD DR
Mailing Address - Street 2:
Mailing Address - City:GARDENDALE
Mailing Address - State:AL
Mailing Address - Zip Code:35071-4690
Mailing Address - Country:US
Mailing Address - Phone:205-378-9038
Mailing Address - Fax:205-285-9562
Practice Address - Street 1:517 18TH ST N
Practice Address - Street 2:
Practice Address - City:BESSEMER
Practice Address - State:AL
Practice Address - Zip Code:35020-4843
Practice Address - Country:US
Practice Address - Phone:205-378-9038
Practice Address - Fax:205-285-9562
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-18
Last Update Date:2012-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2566101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional