| Tamara Purtell Therapy Llc | |
|
15997 Petros Dr Brownstown MI 48173-8607 | |
| (734) 812-6754 | |
| Not Available |
| Full Name | Tamara Purtell Therapy Llc |
|---|---|
| Speciality | Counselor |
| Location | 15997 Petros Dr, Brownstown, Michigan |
| Authorized Official Name and Position | Tamara Purtell (OWNER) |
| Authorized Official Contact | 7348126754 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tamara Purtell Therapy Llc 15997 Petros Dr Brownstown MI 48173-8607 Ph: (734) 812-6754 | Tamara Purtell Therapy Llc 15997 Petros Dr Brownstown MI 48173-8607 Ph: (734) 812-6754 |
| NPI Number | 1992593776 |
|---|---|
| Provider Enumeration Date | 04/30/2025 |
| Last Update Date | 04/30/2025 |
| Certification Date | 04/30/2025 |
| Medicare PECOS PAC ID | 3274043229 |
|---|---|
| Medicare Enrollment ID | O20250609002316 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992593776 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Tamara Purtell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336414861 PECOS PAC ID: 3779093737 Enrollment ID: I20250609002510 |
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