Provider Demographics
NPI:1770475006
Name:GORE, TAMALA LYNN (MSW)
Entity type:Individual
Prefix:
First Name:TAMALA
Middle Name:LYNN
Last Name:GORE
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:908 THORN ST
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:WV
Mailing Address - Zip Code:24740-3655
Mailing Address - Country:US
Mailing Address - Phone:304-809-8330
Mailing Address - Fax:304-809-8330
Practice Address - Street 1:908 THORN ST
Practice Address - Street 2:
Practice Address - City:PRINCETON
Practice Address - State:WV
Practice Address - Zip Code:24740-3655
Practice Address - Country:US
Practice Address - Phone:304-809-8330
Practice Address - Fax:304-809-8330
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-21
Last Update Date:2025-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health