DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TAMMY MIRANDA, LCPC-C, CBIS

Active Sole Proprietor

Mental Health Counselor · SOUTH PORTLAND, ME

Registration Details

NPI Number
1841790458
Provider Type
Individual
Gender
Female
NPI Issued
Feb 20, 2018 (8.1850256954761 yrs)
Last Updated
Apr 25, 2018
License
XL4898 (ME)
Sole Proprietor
Yes

Practice Information

Address
1486B BROADWAY
SOUTH PORTLAND, ME, 041062602
Browse ME providers · Browse ZIP 04106
Phone
2076028660
Primary Specialty
Mental Health Counselor
101YM0800X

Other Mental Health Counselor Providers in SOUTH PORTLAND, ME

Name Credential NPI
MR. DAVID MATTHEWS MCCAIN 1326093295
MS. CHERIE GUSTAFSON M.A. 1306889530
DOROTHY M CADY MSW 1639106941
MR. BASIL MINOT STEELE LCPC 1346265006
MRS. JULIE N GILLIES LCPC 1932127727
JUDITH M ANDREWS LCPC 1578640199
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.