Organization
TAMARA'S VARIETY OF SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMARA MEADOWS (OWNER)
(706) 221-3630
Entity
Organization
Contact information
Practice address
3025 UNIVERSITY AVE STE 407B, COLUMBUS, GA 31907-2101
(706) 221-3630
(706) 221-3630
Mailing address
3025 UNIVERSITY AVE STE 407B, COLUMBUS, GA 31907-2101
(706) 221-3630
(706) 221-3630
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
511466
—
101YM0800X
Mental Health Counselor
Primary
LPC008601
GA
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003189415A
—
GA
Enumeration date
03/03/2018
Last updated
03/03/2018
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