Purtell, Tamara Marie

Purtell, Tamara Marie is an individual health care provider with primary practice located at 13101 Allen Rd , Southgate MI 48195. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Purtell, Tamara Marie can be contacted via phone (734) 785-7700.

Contact Information

Primary practice address
13101 Allen Rd Southgate MI 48195
Phone: (734) 785-7700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 6401012886 Michigan
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1336414861
LBN Legal business name Purtell, Tamara Marie
Credentials MA, LPC, NCC, CAADC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2012
Last updated Aug 30th, 2018 - about 6 years 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336414861 NPPES
Michigan MEDICAID 213119549

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