BONI-LOU TAMARA ROBERTS CADC II
NPI 1558865386
Counselor - Addiction (Substance Use Disorder) in Tifton, GA

Active since March 19, 2018
2402 TIFT AVE N STE 202, TIFTON, GA 31794(229) 382-7898(229) 386-5818 Get Directions Write a Review

NPPES record last updated: March 19, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Boni-lou Tamara Roberts Cadc Ii NPPES

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

BONI-LOU TAMARA ROBERTS CADC II (NPI 1558865386) is an individual addiction (substance use disorder) provider in Tifton, Georgia, licensed in Georgia (0907) and active in the NPI registry since March 2018.

NPPES Registry Identity

NPI1558865386
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameBONI-LOU TAMARA ROBERTSCredential: CADC II
Location Address2402 TIFT AVE N STE 202Tifton, GA 31794-1885
Mailing Address2503 Canterbury Ct Apt N15Albany, GA 31707-6636 · (229) 344-7392
Fax(229) 386-5818
Sole ProprietorNo
Enumeration DateMarch 19, 2018
NPI 1558865386 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
License Licensed in GA · 0907
2402 TIFT AVE N STE 202, Tifton, GA 31794

Other Providers at the Same Location NPPES 2

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

Counselor (Addiction (Substance Use Disorder))
2402 TIFT AVE N STE 202
TIFTON, GA 31794
Counselor (Addiction (Substance Use Disorder))
2402 TIFT AVE N STE 202
TIFTON, GA 31794

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 Boni-lou Roberts's NPI number?

The NPI number for Boni-lou Roberts is 1558865386. It was assigned to this individual provider in the NPPES registry on March 19, 2018.

Where is Boni-lou Roberts located?

Boni-lou Roberts practices at 2402 Tift Ave N Ste 202, Tifton, GA 31794. The listed phone number is (229) 382-7898.

What is Boni-lou Roberts'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 Boni-lou Roberts was last updated on March 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.