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TAMMIE LEETTA FULLMAN
NPI 1184247660
Counselor - Addiction (Substance Use Disorder) in New Brighton, MN

Active since May 19, 2020
1900 SILVER LAKE RD NW, NEW BRIGHTON, MN 55112(651) 746-2392(651) 379-1738 Get Directions Write a Review

NPPES record last updated: May 19, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Tammie Leetta Fullman NPPES

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

TAMMIE LEETTA FULLMAN (NPI 1184247660) is an individual addiction (substance use disorder) provider in New Brighton, Minnesota and active in the NPI registry since May 2020.

NPPES Registry Identity

NPI1184247660
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameTAMMIE LEETTA FULLMAN
Location Address1900 SILVER LAKE RD NWNew Brighton, MN 55112-1786
Mailing Address10960 Fergus St Ne Unit CBlaine, MN 55449-5082 · (612) 275-0045
Phone(651) 746-2392
Fax(651) 379-1738
Sole ProprietorNo
Enumeration DateMay 19, 2020
NPPES CertifiedMay 19, 2020
✔ NPI 1184247660 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
1900 SILVER LAKE RD NW, New Brighton, MN 55112
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BETHANY GAVIC MSW, LICSW
Social Worker (Clinical)
1900 SILVER LAKE RD NW, SUITE 110
NEW BRIGHTON, MN 55112
Ramsey County (651) 628-9566
JENNIFER PERRI
Marriage & Family Therapist
1900 SILVER LAKE RD NW, SUITE 110
NEW BRIGHTON, MN 55112
Ramsey County (651) 628-9566
NATHAN HOCKERT
Physician Assistant (Medical)
1900 SILVER LAKE RD NW
NEW BRIGHTON, MN 55112
Ramsey County (165) 162-8956
JACK LESLIE HINRICHS MA, LMFT
Marriage & Family Therapist
1900 SILVER LAKE RD NW, SUITE110
NEW BRIGHTON, MN 55112
Ramsey County (651) 628-9566
KATHLEEN ANN SPIRY LICSW
Social Worker (Clinical)
1900 SILVER LAKE RD NW, SUITE 110
NEW BRIGHTON, MN 55112
Ramsey County (651) 628-9566
KRISTEN MCLESKEY
Counselor (Mental Health)
1900 SILVER LAKE RD NW, SUITE 110
NEW BRIGHTON, MN 55112
Ramsey County (651) 628-9566
AMANDA LOUISE WEGNER BS
Counselor (Mental Health)
1900 SILVER LAKE RD NW
NEW BRIGHTON, MN 55112
Ramsey County (651) 628-9556
DAVID KEARN
Psychologist (Clinical)
1900 SILVER LAKE RD NW, #110
NEW BRIGHTON, MN 55112
Ramsey County (651) 628-9566

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tammie Fullman's NPI number?

The NPI number for Tammie Fullman is 1184247660. It was assigned to this individual provider in the NPPES registry on May 19, 2020.

Where is Tammie Fullman located?

Tammie Fullman practices at 1900 Silver Lake Rd NW, New Brighton, MN 55112. The listed phone number is (651) 746-2392.

What is Tammie Fullman's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Tammie Fullman was last updated on May 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.