1245906536 NPI number — MS. TAMARA ADRIENNE HULL LCMFT

Table of content: MS. TAMARA ADRIENNE HULL LCMFT (NPI 1245906536)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1245906536 NPI number — MS. TAMARA ADRIENNE HULL LCMFT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HULL
Provider First Name:
TAMARA
Provider Middle Name:
ADRIENNE
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
LCMFT
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1245906536
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/22/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3329 G HAMPTON POINT DRIVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SILVER SPRING
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
20904
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
240-401-1423
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
10705 CHARTER DR STE 410
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
COLUMBIA
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21044-2800
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
240-295-3116
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/18/2021

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 106H00000X , with the licence number:  LGM837 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 106H00000X , with the licence number: LCM1003 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: LGM837 . This is a "BOARD OF PROFESSIONAL COUNSELORS AND THERAPISTS" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: LCM1003 . This is a "MARYLAND BOARD OF PROFESSIONAL COUNSELORS & THERAPISTS" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".




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