Bahr, Tami Ra
Bahr, Tami Ra is an individual health care provider with primary practice located at 6410 Enterprise Ln Ste 210 , Madison WI 53719-1143. She recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Bahr, Tami Ra can be contacted via phone (608) 400-3672.Contact Information
Primary practice address
6410 Enterprise Ln Ste 210
Madison WI 53719-1143
Phone: (608) 400-3672
Fax: (608) 422-4006
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 7135-123 | Wisconsin |
Behavioral Health & Social Service Providers / Counselor | 101Y00000X | 15259-135 | Wisconsin |
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 15135-132 | Wisconsin |
Behavioral Health & Social Service Providers / Social Worker | 104100000X | 7135-123 | Wisconsin |
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 7135-123 | Wisconsin |
Profile Details
NPI number | 1568594372 |
---|---|
LBN Legal business name | Bahr, Tami Ra |
Credentials | LCSW, CSAC, ICS |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 9th, 2007 |
Last updated | Mar 7th, 2024 - about 8 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1568594372 | NPPES |
Wisconsin | MEDICAID | 1568594372 |
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