TAMI ELAINE BOOTH LMHC NPI 1720437940

NPI Information

NPI: 1720437940
Provider Name: TAMI ELAINE BOOTH, LMHC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
4630 W JEFFERSON BLVD STE 3
FORT WAYNE, IN
ZIP 46804
Phone: (260) 572-0510
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Tami Elaine Booth, LMHC is a mental health counselor in Fort Wayne, IN. Tami Elaine Booth, LMHC NPI is 1720437940. 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:

4630 W JEFFERSON BLVD STE 3
FORT WAYNE, IN
ZIP 46804-800
Phone: (260) 572-0510
Fax: (260) 233-9464

The enumeration date for this NPI number is 6/8/2016 and was last updated on 6/11/2023.

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	101YM0800X	Counselor	Mental Health			No
2	101YM0800X	Counselor	Mental Health	39004512A	INDIANA	Yes

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: 4/28/2024

NPI Synchronization or Removal

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