Tamara Pellant, M.S.,, L.P.C.

Individual provider Active NPI Mental Health Counselor · Madison, AL

NPI 1104928746 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1104928746
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
1662 (AL)
Practice address
100 Essex CT
Suite B
Madison, AL 35758-3139
Phone
(256) 464-9755
Fax
(256) 774-7579
NPI assigned
Sep 3, 2006
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
1662ALMDMental Health Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 1662 AL Yes

Addresses

Primary practice location

100 Essex CT
Suite B
Madison, AL 35758-3139

Mailing address

100 Essex CT
Suite B
Madison, AL 35758-3139
Phone (256) 464-9755

Other identifiers

IdentifierTypeStateIssuer
51501383OtherALAMERICAN BEHAVIORAL
128680OtherVAVALUEOPTIONS
128680OtherSCVALUEOPTIONS TRICARE
220940OtherILCOMPSYCH
1045501OtherMNCIGNA BEHAVIORAL HEALTH
4035865OtherTNBCBS OF TENNESSEE
62-99825OtherGAUBH ALLKIDS
51008816OtherALBCBS OF ALABAMA
116534OtherNHBEHAVIORAL HEALTH NETWORK
62-99825OtherGAUNITED BEHAVIORAL HEALTH
7286337OtherCTAETNA

Other providers in Madison, AL

All providers in Madison, AL · Mental Health Counselor in Alabama

Sources for this page

Verify at the official NPI Registry.