Provider Demographics
NPI:1407460181
Name:HARRIS, TAMMY KATHLEEN (LCSW)
Entity type:Individual
Prefix:
First Name:TAMMY
Middle Name:KATHLEEN
Last Name:HARRIS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:59 E 11TH AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97401-3656
Mailing Address - Country:US
Mailing Address - Phone:775-240-2799
Mailing Address - Fax:
Practice Address - Street 1:3706 S CURRY ST UNIT 208
Practice Address - Street 2:
Practice Address - City:CARSON CITY
Practice Address - State:NV
Practice Address - Zip Code:89703-6381
Practice Address - Country:US
Practice Address - Phone:775-240-2799
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-01
Last Update Date:2025-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORM6038101YM0800X
ORL160811041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health