MEDICARE: TAMMY HANIFY LCPC, LAC

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	101YA0400X	Addiction (Substance Use Disorder) Counselor	BBH-LAC-LIC-14090	MT
2	101YM0800X	Mental Health Counselor	BBH-LCPC-LIC-31172	MT

General Provider Information

NPI Number	:	1831558220
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAMMY HANIFY LCPC, LAC

Provider Business Mailing Address
First Line	:	PO BOX 80773
Second Line	:
City	:	BILLINGS
State	:	MT
Zip	:	59108-0773
Country	:	US
Telephone Number	:	406-672-9923
Fax Number	:

Provider Business Practice Location Address
First Line	:	110 GRAND AVE
Second Line	:
City	:	BILLINGS
State	:	MT
Zip	:	59101-6021
Country	:	US
Telephone Number	:	406-672-9923
Fax Number	:

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

Provider Enumeration Date	:	02/15/2016
Last Update Date	:	05/17/2025

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