Provider Demographics
NPI:1922444587
Name:HOLT, TAMMIE R (LMHC)
Entity type:Individual
Prefix:
First Name:TAMMIE
Middle Name:R
Last Name:HOLT
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2700 WESTHALL LN STE 233
Mailing Address - Street 2:
Mailing Address - City:MAITLAND
Mailing Address - State:FL
Mailing Address - Zip Code:32751-7488
Mailing Address - Country:US
Mailing Address - Phone:407-619-9597
Mailing Address - Fax:
Practice Address - Street 1:2101 PARK CENTER DR STE 270
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32835-7608
Practice Address - Country:US
Practice Address - Phone:407-603-6012
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-21
Last Update Date:2025-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH14009101YM0800X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL008744800Medicaid
FLMH14009OtherDEPARTMENT OF HEALTH