Provider Demographics
NPI:1467324392
Name:COMER, TAMARA, PASTOR YVONNE
Entity type:Individual
Prefix:
First Name:TAMARA, PASTOR
Middle Name:YVONNE
Last Name:COMER
Suffix:
Gender:X
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4971 AARON DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31907-7422
Mailing Address - Country:US
Mailing Address - Phone:706-304-1218
Mailing Address - Fax:
Practice Address - Street 1:4971 AARON DR
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31907-7422
Practice Address - Country:US
Practice Address - Phone:706-304-1218
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-20
Last Update Date:2025-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL101YP1600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral