Provider Demographics
NPI:1396318895
Name:BETTS, TAMMIE T (MED, LPC, LCDC-I)
Entity type:Individual
Prefix:
First Name:TAMMIE
Middle Name:T
Last Name:BETTS
Suffix:
Gender:F
Credentials:MED, LPC, LCDC-I
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6023 SKYLAR MEADOWS CT
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-2273
Mailing Address - Country:US
Mailing Address - Phone:210-823-9282
Mailing Address - Fax:
Practice Address - Street 1:6023 SKYLAR MEADOWS CT
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77407-2273
Practice Address - Country:US
Practice Address - Phone:210-823-9282
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-21
Last Update Date:2024-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX82116101YP2500X, 101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional