Healthcare Provider Details

I. General information

NPI: 1699353631
Provider Name (Legal Business Name): THOMAS TIRMAN NCC, LCAC, TEMP-LMHC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/31/2021
Last Update Date: 09/11/2025
Certification Date: 03/31/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1106 MERIDIAN ST STE 465
ANDERSON IN
46016-6015
US

IV. Provider business mailing address

300 WINDING WAY
ANDERSON IN
46011-2261
US

V. Phone/Fax

Practice location:
  • Phone: 765-210-1061
  • Fax:
Mailing address:
  • Phone: 317-603-0012
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP1600X
TaxonomyPastoral Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: