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Organization
TAMARA PETTIT, LLC
Active
Organization
TAMARA PETTIT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMARA FIELDS PETTIT MS, LMFT (THERAPIST/OWNER)
(386) 785-4595
Entity
Organization
Contact information
Practice address
100 E GRANADA BLVD STE 103, ORMOND BEACH, FL 32176-6660
(386) 999-1989
Mailing address
129 MAGNOLIA DR, ORMOND BEACH, FL 32176-8114
(386) 785-4595
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
07/20/2026
Last updated
08/05/2026
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