Litchke Herdman, Tabbatha Jo
Litchke Herdman, Tabbatha Jo is an individual health care provider with primary practice located at 1833 W Us Highway 2 Ste B , Grand Rapids MN 55744-4733. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Litchke Herdman, Tabbatha Jo can be contacted via phone (218) 392-5904.Contact Information
Primary practice address
1833 W Us Highway 2 Ste B
Grand Rapids MN 55744-4733
Phone: (218) 392-5904
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 1849 | Minnesota |
Profile Details
| NPI number | 1518453554 |
|---|---|
| LBN Legal business name | Litchke Herdman, Tabbatha Jo |
| Credentials | MS ED, LPCC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 2nd, 2018 |
| Last updated | Apr 5th, 2026 - about 6 months 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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