TAMARA MARIE PURTELL MA LPC NCC CAADC NPI 1336414861

NPI Information

NPI: 1336414861
Provider Name: TAMARA MARIE PURTELL, MA, LPC, NCC, CAADC
Classification: Counselor - 101Y00000X
Entity Type: Individual
Address:
13101 ALLEN RD
SOUTHGATE, MI
ZIP 48195
Phone: (734) 785-7700
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Tamara Marie Purtell, MA, LPC, NCC, CAADC is a counselor in Southgate, MI. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. Tamara Marie Purtell, MA, LPC, NCC, CAADC NPI is 1336414861. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

13101 ALLEN RD
SOUTHGATE, MI
ZIP 48195
Phone: (734) 785-7700

The enumeration date for this NPI number is 3/16/2012 and was last updated on 8/30/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	6401012886	MICHIGAN	No
2	101Y00000X	Counselor				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	213119549	MEDICAID	MICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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