Blodgett, Tamatha

Blodgett, Tamatha is an sole proprietor health care provider with primary practice located at 2150 Lakeside Blvd Ste 100 , Richardson TX 75082-4302. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Blodgett, Tamatha can be contacted via phone (972) 437-4698.

Contact Information

Primary practice address
2150 Lakeside Blvd Ste 100 Richardson TX 75082-4302
Phone: (972) 437-4698
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 72072 Texas
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 72072 Texas
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 72072 Texas
Behavioral Health & Social Service Providers / Professional 101YP2500X 72072 Texas

Profile Details

NPI number 1427423540
LBN Legal business name Blodgett, Tamatha
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 1st, 2015
Last updated Dec 1st, 2015 - about 11 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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