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MRS. TAMMI RENEE IVY MRC, LPC
NPI 1104062868
Counselor - Professional in Cabot, AR

Active since December 31, 2008
3358 SUITE D. S. 2ND STREET, CABOT, AR 72023(501) 286-6053(870) 523-9301 Get Directions Write a Review

NPPES record last updated: February 21, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mrs. Tammi Renee Ivy Mrc, Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. TAMMI RENEE IVY MRC, LPC (NPI 1104062868) is an individual professional provider in Cabot, Arkansas, licensed in Arkansas (P0411049) and active in the NPI registry since December 2008.

NPPES Registry Identity

NPI1104062868
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. TAMMI RENEE IVYCredential: MRC, LPC
Location Address3358 SUITE D. S. 2ND STREETCabot, AR 72023
Mailing Address620 Edwards StNewport, AR 72112-9074 · (870) 926-2840 · Fax (870) 523-9301
Phone(501) 286-6053
Fax(870) 523-9301
Sole ProprietorYes
Enumeration DateDecember 31, 2008
Last NPPES UpdateFebruary 21, 2018
✔ NPI 1104062868 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in AR · P0411049
3358 SUITE D. S. 2ND STREET, Cabot, AR 72023
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Other Identifiers 1

Medicaid169387795AR

Reviews for MRS. TAMMI RENEE IVY MRC, LPC

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Frequently Asked Questions

What is Tammi Ivy's NPI number?

The NPI number assigned to this healthcare provider is 1104062868, enumerated as an "individual" on December 31, 2008.

Where is the provider located?

The provider is located at 3358 SUITE D. S. 2ND STREET CABOT, AR 72023 and the phone number is (501) 286-6053.

What is the provider's specialty?

Counselor with taxonomy code 101YP2500X and a focus in Professional.

What insurance does Tammi Ivy accept?

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.