National Provider Identifier
Tammie Vivlamore, CRPA-P
Tammie Vivlamore, CRPA-P is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Lyons, NY and a listed phone number of (315) 946-5750.
Profile Overview
- NPI
- 1780360305
- Provider Type
- Individual
- Primary Specialty
- Mental Health Counselor
- Enumeration Date
- June 27, 2023
- Last Updated
- June 27, 2023
Practice Location
- 1519 Nye RD Ste 110
- Lyons, NY 14489-9112
Phone: (315) 946-5750
Specialties
- Mental Health Counselor (101YM0800X)
Full Record
- NPI
- 1780360305
- Entity Type
- Individual
- Last Name
- Vivlamore
- First Name
- Tammie
- Credential
- CRPA-P
- Mailing Street Address
- 1519 Nye RD Ste 110
- Mailing City
- Lyons
- Mailing State
- NY
- Mailing ZIP Code
- 14489-9112
- Mailing Country
- US
- Mailing Phone
- (315) 946-5750
- Practice Street Address
- 1519 Nye RD Ste 110
- Practice City
- Lyons
- Practice State
- NY
- Practice ZIP Code
- 14489-9112
- Practice Country
- US
- Practice Phone
- (315) 946-5750
- Enumeration Date
- June 27, 2023
- Last Updated
- June 27, 2023
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- June 27, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Mental Health Counselor (101YM0800X)