MEDICARE: TAMMY BAUMUNK LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	C.0600218	OH

General Provider Information

NPI Number	:	1740166354
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAMMY BAUMUNK LPC

Provider Business Mailing Address
First Line	:	308 W WASHINGTON ST
Second Line	:
City	:	MOUNT CORY
State	:	OH
Zip	:	45868-9773
Country	:	US
Telephone Number	:	419-889-7962
Fax Number	:

Provider Business Practice Location Address
First Line	:	110 W MECHANIC ST
Second Line	:
City	:	WAPAKONETA
State	:	OH
Zip	:	45895-1908
Country	:	US
Telephone Number	:	419-979-9577
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/12/2025
Last Update Date	:	08/12/2025

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