Provider Demographics
NPI:1144992991
Name:LEVINE, TAMMIE (RMHCI)
Entity type:Individual
Prefix:
First Name:TAMMIE
Middle Name:
Last Name:LEVINE
Suffix:
Gender:F
Credentials:RMHCI
Other - Prefix:
Other - First Name:TAMAR
Other - Middle Name:
Other - Last Name:LEVINE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RMHCI
Mailing Address - Street 1:1275 NE 173RD ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33162-1232
Mailing Address - Country:US
Mailing Address - Phone:786-303-8700
Mailing Address - Fax:
Practice Address - Street 1:12000 BISCAYNE BLVD
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33181-2735
Practice Address - Country:US
Practice Address - Phone:786-303-8700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-30
Last Update Date:2024-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLIMH21674101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLIMH21674OtherBOARD OF CLINICAL SOCIAL WORK, MARRIAGE & FAMILY COUNSELING AND MENTAL HEALTH CO