Provider Demographics
NPI:1285955195
Name:FAIT, TAMMY THERESA (LPC)
Entity type:Individual
Prefix:
First Name:TAMMY
Middle Name:THERESA
Last Name:FAIT
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:TAMMY
Other - Middle Name:THERESA
Other - Last Name:WEINMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:89 LAUREL DR
Mailing Address - Street 2:
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-4587
Mailing Address - Country:US
Mailing Address - Phone:724-853-8794
Mailing Address - Fax:
Practice Address - Street 1:89 LAUREL DR
Practice Address - Street 2:
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-4587
Practice Address - Country:US
Practice Address - Phone:724-853-8794
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-15
Last Update Date:2010-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC005480101YA0400X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)