MEDICARE: TAMMY LYNN MEHLHAFF SWLC

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	1041C0700X	Clinical Social Worker	BBH-SWLC-LIC-62916	MT

General Provider Information

NPI Number	:	1801774310
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAMMY LYNN MEHLHAFF SWLC

Provider Business Mailing Address
First Line	:	744 WYOMING AVE
Second Line	:
City	:	BILLINGS
State	:	MT
Zip	:	59101-1619
Country	:	US
Telephone Number	:	406-545-9077
Fax Number	:

Provider Business Practice Location Address
First Line	:	415 BROADWATER AVE
Second Line	:
City	:	BILLINGS
State	:	MT
Zip	:	59101-2813
Country	:	US
Telephone Number	:	406-545-9077
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/22/2025
Last Update Date	:	08/22/2025

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