# TA MARA'S PROMISE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790221802
- **Authorized official:** TAMARA PATRICE WILLIAMS LPC, MAC,CSAC (OWNER/CEO)
- **Authorized official phone:** (757) 748-4048

## Contact information

- **Practice address:** 2601 WEST AVE, STE: 201, NEWPORT, VA 23607
- **Practice address phone:** (618) 204-0190
- **Practice address fax:** (757) 223-8100
- **Mailing address:** 2601 WEST AVE, STE: 201, NEWPORT, VA 23607
- **Mailing address phone:** (618) 204-0190
- **Mailing address fax:** (757) 223-8100

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 0710102326 | VA | Yes |
| 101YM0800X | Mental Health Counselor | 070105823 | VA | — |

## Other

- **Enumeration date:** 01/12/2017
- **Last updated:** 01/12/2017