Provider Demographics
NPI:1285432914
Name:TAMMY MATTE LICENSED PROFESSIONAL COUNSELOR
Entity type:Organization
Organization Name:TAMMY MATTE LICENSED PROFESSIONAL COUNSELOR
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:TAMMY
Authorized Official - Middle Name:
Authorized Official - Last Name:MATTE
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPC, RPT
Authorized Official - Phone:337-351-5730
Mailing Address - Street 1:107 BUNGALOW CT
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70508-8166
Mailing Address - Country:US
Mailing Address - Phone:133-735-1573
Mailing Address - Fax:133-735-1573
Practice Address - Street 1:913 S COLLEGE RD STE 211
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70503-3062
Practice Address - Country:US
Practice Address - Phone:337-351-5730
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-06
Last Update Date:2025-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health