Provider Demographics
NPI:1528652435
Name:GATLIN, TAMIKA (LPC)
Entity type:Individual
Prefix:
First Name:TAMIKA
Middle Name:
Last Name:GATLIN
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 1:20934 FOX SWIFT CT
Mailing Address - Street 2:
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77338-6730
Mailing Address - Country:US
Mailing Address - Phone:832-692-8633
Mailing Address - Fax:
Practice Address - Street 1:20934 FOX SWIFT CT
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77338-6730
Practice Address - Country:US
Practice Address - Phone:832-692-8633
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-22
Last Update Date:2021-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX80584101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health