Healthcare Provider Details

I. General information

NPI: 1023955770
Provider Name (Legal Business Name): TAMMY LYN NOEL LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: TAMRA LYN NOEL LMFT

II. Dates (important events)

Enumeration Date: 04/30/2026
Last Update Date: 04/30/2026
Certification Date: 04/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

771 AGOSTINI CIR
FOLSOM CA
95630-9561
US

IV. Provider business mailing address

771 AGOSTINI CIR
FOLSOM CA
95630-9561
US

V. Phone/Fax

Practice location:
  • Phone: 916-996-3415
  • Fax:
Mailing address:
  • Phone: 916-996-3415
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number31788
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: