Provider Demographics
NPI:1194082792
Name:MAREK, TAMMY (LPC)
Entity type:Individual
Prefix:
First Name:TAMMY
Middle Name:
Last Name:MAREK
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:TAMMY
Other - Middle Name:
Other - Last Name:MAREK
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC
Mailing Address - Street 1:PO BOX 1611
Mailing Address - Street 2:
Mailing Address - City:MONT BELVIEU
Mailing Address - State:TX
Mailing Address - Zip Code:77580-1611
Mailing Address - Country:US
Mailing Address - Phone:936-647-1188
Mailing Address - Fax:936-647-1188
Practice Address - Street 1:4721 GARTH RD
Practice Address - Street 2:
Practice Address - City:BAYTOWN
Practice Address - State:TX
Practice Address - Zip Code:77521-2153
Practice Address - Country:US
Practice Address - Phone:366-471-1188
Practice Address - Fax:936-647-1212
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-19
Last Update Date:2023-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX64089101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional