Provider Demographics
NPI:1770318305
Name:SCHULTHEIS, TAMI (LCSW)
Entity type:Individual
Prefix:
First Name:TAMI
Middle Name:
Last Name:SCHULTHEIS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:458 ESSEX PARK CIR
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37069-8415
Mailing Address - Country:US
Mailing Address - Phone:615-668-3240
Mailing Address - Fax:
Practice Address - Street 1:143 SE PARKWAY CT
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37064-3968
Practice Address - Country:US
Practice Address - Phone:615-790-0567
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-04
Last Update Date:2024-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN53241041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical