Provider Demographics
NPI:1487312120
Name:KOTHE-RAMSEY, TAMMY GAIL (LPC)
Entity type:Individual
Prefix:
First Name:TAMMY
Middle Name:GAIL
Last Name:KOTHE-RAMSEY
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12336 CLAIBORNE
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78252-4414
Mailing Address - Country:US
Mailing Address - Phone:830-444-5064
Mailing Address - Fax:
Practice Address - Street 1:1214 18TH ST STE B1
Practice Address - Street 2:
Practice Address - City:HONDO
Practice Address - State:TX
Practice Address - Zip Code:78861-1753
Practice Address - Country:US
Practice Address - Phone:830-444-5064
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-30
Last Update Date:2024-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX77235101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional