Individual
TAMMI EVANS WITHERSPOON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1119 W PIONEER PKWY, SUITE 115, ARLINGTON, TX 76013-7604
(682) 238-3831
(817) 274-1900
Mailing address
1119 W PIONEER PKWY, SUITE 115, ARLINGTON, TX 76013-7604
(682) 238-3831
(817) 274-1900
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
TX
101YM0800X
Mental Health Counselor
—
TX
101YP1600X
Pastoral Counselor
—
TX
103T00000X
Psychologist
Primary
—
TX
106H00000X
Marriage & Family Therapist
—
TX
273R00000X
Psychiatric Hospital Unit
—
TX
282J00000X
Religious Nonmedical Health Care Institution
—
TX
284300000X
Special Hospital
—
TX
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
TX
320800000X
Mental Illness Community Based Residential Treatment Facility
—
TX
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
TX
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
TX
324500000X
Substance Abuse Rehabilitation Facility
—
TX
Other
Enumeration date
10/11/2016
Last updated
10/14/2016
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