Provider Demographics
NPI:1326429424
Name:THOMPSON, TAMMY (LCMHC, MLADC, LPC)
Entity type:Individual
Prefix:
First Name:TAMMY
Middle Name:
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:LCMHC, MLADC, LPC
Other - Prefix:
Other - First Name:TAMMY
Other - Middle Name:
Other - Last Name:THOMPSON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MS
Mailing Address - Street 1:7373 N SCOTTSDALE RD STE A199
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85253-3593
Mailing Address - Country:US
Mailing Address - Phone:702-805-5360
Mailing Address - Fax:702-977-7488
Practice Address - Street 1:7373 N SCOTTSDALE RD STE A199
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85253-3593
Practice Address - Country:US
Practice Address - Phone:702-805-5360
Practice Address - Fax:702-977-7488
Is Sole Proprietor?:No
Enumeration Date:2015-06-15
Last Update Date:2024-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH2315101YM0800X
NH1035101YA0400X
FLTPMC1918101YM0800X
UT12972851-6004101YM0800X, 101YP2500X
VA0701012427101YP2500X
AZLPC-23298101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)