Provider Demographics
NPI:1801774310
Name:MEHLHAFF, TAMMY LYNN (SWLC)
Entity type:Individual
Prefix:
First Name:TAMMY
Middle Name:LYNN
Last Name:MEHLHAFF
Suffix:
Gender:F
Credentials:SWLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:744 WYOMING AVE
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59101-1619
Mailing Address - Country:US
Mailing Address - Phone:406-545-9077
Mailing Address - Fax:
Practice Address - Street 1:415 BROADWATER AVE
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59101-2813
Practice Address - Country:US
Practice Address - Phone:406-545-9077
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-22
Last Update Date:2025-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTBBH-SWLC-LIC-629161041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical