Provider Type Icon

MRS. TANYA JEAN GORMAN LADC ACADC CCGC NPI 1356333595


NPI Information

NPI: 1356333595
Provider Name: MRS. TANYA JEAN GORMAN, LADC ACADC CCGC
Classification: Counselor - 101Y00000X
Entity Type: Individual
Address:
515 E BROADWAY
COUNCIL BLUFFS, IA
ZIP 51503
Phone: (712) 322-1407
Get Directions

MRS. Tanya Jean Gorman, LADC ACADC CCGC is a counselor in Council Bluffs, IA. 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. MRS. Tanya Jean Gorman, LADC ACADC CCGC NPI is 1356333595. 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:

515 E BROADWAY
COUNCIL BLUFFS, IA
ZIP 51503-419
Phone: (712) 322-1407
Fax: (712) 322-6833

The enumeration date for this NPI number is 8/15/2005 and was last updated on 7/8/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101Y00000XCounselorCCGC 021NEBRASKAYes
2101YA0400XCounselorAddiction (Substance Use Disorder)LADCNEBRASKAX
3101YA0400XCounselorAddiction (Substance Use Disorder)ACADCIOWAX

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.