person
Mrs. Tammi Renee Ivy, MRC,LPC
Professional Counselor in Cabot, Arkansas
NPI 1104062868

Tammi Renee Ivy is a Professional Counselor based in Newport, AR and is specialized in Professional. Tammi Renee Ivy practices in Cabot, AR and has the professional credentials of MRC,LPC. The NPI Number for Tammi Renee Ivy is 1104062868 and holds a License No. P0411049 (Arkansas).

The current practice location address for Tammi Renee Ivy is 3358 Suite D. S. 2Nd Street, Cabot, AR and can be reached out via phone at 501-286-6053 and via fax at 870-523-9301. You can also correspond with Tammi Renee Ivy through the mailing address at 620 EDWARDS ST, NEWPORT, AR - 72112-9074 (mailing address contact number: 870-926-2840).

Location: 3358 Suite D. S. 2Nd Street, Cabot, AR, 72112-9074
person
Provider Profile Details
NPI Number
1104062868
Provider Name
Tammi Renee Ivy
Credential
MRC,LPC
Provider Entity Type
Individual
Gender
Female
Address
3358 Suite D. S. 2Nd Street, Cabot, AR, 72112-9074
Phone Number
501-286-6053
Fax Number
870-523-9301
Provider Enumeration Date
12/31/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
169387795 05 AR
institution
Provider Business Practice Location Address Details
Address
3358 Suite D. S. 2Nd Street
City
State
Zip
72023
Phone Number
501-286-6053
Fax Number
870-523-9301
person
Provider Business Mailing Address Details
Address
3358 Suite D. S. 2Nd Street
City
State
Zip
72023
Phone Number
501-286-6053
Fax Number
870-523-9301
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
P0411049 (Arkansas)
Definition
Definition to come...
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