Mcdaniel Mossman, Tami

Mcdaniel Mossman, Tami is an sole proprietor health care provider with primary practice located at 801 S Grand Ave W , Springfield IL 62704-3640. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Mcdaniel Mossman, Tami can be contacted via phone (217) 502-9120.

Contact Information

Primary practice address
801 S Grand Ave W Springfield IL 62704-3640
Phone: (217) 502-9120
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 180004510 Illinois
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 13042 Illinois

Profile Details

NPI number 1396783866
LBN Legal business name Mcdaniel Mossman, Tami
Credentials LCPC, CADC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 4th, 2006
Last updated Oct 2nd, 2007 - about 19 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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