Provider Demographics
NPI:1194237842
Name:LEDAY, TAMMY D (LPC-S, LCDC)
Entity type:Individual
Prefix:
First Name:TAMMY
Middle Name:D
Last Name:LEDAY
Suffix:
Gender:F
Credentials:LPC-S, LCDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2213 SPRING LEAF DR
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75006-2730
Mailing Address - Country:US
Mailing Address - Phone:575-518-5699
Mailing Address - Fax:
Practice Address - Street 1:2213 SPRING LEAF DR
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75006-2730
Practice Address - Country:US
Practice Address - Phone:575-518-5699
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-02
Last Update Date:2024-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX73748101YP2500X, 101YM0800X
TX13072101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health