Healthcare Provider Details

I. General information

NPI: 1245706308
Provider Name (Legal Business Name): TAMMY MARIE CURTIS LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/16/2018
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 S WALNUT AVE
MARSHFIELD WI
54449-2738
US

IV. Provider business mailing address

PO BOX 73
MARSHFIELD WI
54449-0073
US

V. Phone/Fax

Practice location:
  • Phone: 715-368-2268
  • Fax:
Mailing address:
  • Phone: 920-472-9031
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number6928
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: