Healthcare Provider Details

I. General information

NPI: 1235199068
Provider Name (Legal Business Name): TAMELA D ROBY LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: TAMMY TOWNLEY

II. Dates (important events)

Enumeration Date: 03/24/2006
Last Update Date: 07/11/2025
Certification Date: 07/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3041 THORNTON RD
FERNDALE WA
98248-9296
US

IV. Provider business mailing address

6827 WESTVIEW DR
BONNERS FERRY ID
83805-7548
US

V. Phone/Fax

Practice location:
  • Phone: 360-305-1211
  • Fax: 866-322-2123
Mailing address:
  • Phone: 360-305-1211
  • Fax: 866-322-2123

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberLF60125321
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: