MEDICARE: TAMMIE MAKELY MARRIAGE AND FAMILY THERAPY, A PROFESSIONAL CORPORATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist

General Provider Information

NPI Number	:	1578416921
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TAMMIE MAKELY MARRIAGE AND FAMILY THERAPY, A PROFESSIONAL CORPORATION

Provider Business Mailing Address
First Line	:	4592 W PALO ALTO AVE APT 203
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93722-2961
Country	:	US
Telephone Number	:	559-241-4421
Fax Number	:

Provider Business Practice Location Address
First Line	:	4592 W PALO ALTO AVE APT 203
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93722-2961
Country	:	US
Telephone Number	:	559-241-4421
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	TAMMIE SUE MAKELY
Credential	:	LMFT
Telephone Number	:	559-241-4421

Provider Enumeration Date	:	02/17/2026
Last Update Date	:	02/17/2026

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