Healthcare Provider Details

I. General information

NPI: 1609373471
Provider Name (Legal Business Name): TAMMY A USHER LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/09/2018
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

115 SUNRISE DR
ROTONDA WEST FL
33947-2480
US

IV. Provider business mailing address

4432 BONNEY RD UNIT 209
VIRGINIA BEACH VA
23462-3891
US

V. Phone/Fax

Practice location:
  • Phone: 623-399-7627
  • Fax:
Mailing address:
  • Phone: 623-399-7627
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number0701007173
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH27290
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPRC200012702
License Number StateDC
# 4
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLC17839
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: