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TAMMY PARK CADC
NPI 1669895025
Counselor - Addiction (Substance Use Disorder) in Twin Falls, ID

Active since January 21, 2014
630 ADDISON AVE W STE 1000, TWIN FALLS, ID 83301(208) 736-5048(208) 735-2126 Get Directions Write a Review

NPPES record last updated: September 23, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tammy Park Cadc NPPES

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

TAMMY PARK CADC (NPI 1669895025) is an individual addiction (substance use disorder) provider in Twin Falls, Idaho, licensed in Idaho (1144008) and active in the NPI registry since January 2014.

NPPES Registry Identity

NPI1669895025
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameTAMMY PARKCredential: CADC
Location Address630 ADDISON AVE W STE 1000Twin Falls, ID 83301-5853
Mailing Address630 Addison Ave W Ste 1000Twin Falls, ID 83301-5853 · (208) 736-5048 · Fax (208) 735-2126
Phone(208) 736-5048
Fax(208) 735-2126
Sole ProprietorNo
Enumeration DateJanuary 21, 2014
Last NPPES UpdateSeptember 23, 2024
NPPES CertifiedSeptember 23, 2024
✔ NPI 1669895025 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 ID · 1144008
630 ADDISON AVE W STE 1000, Twin Falls, ID 83301
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Other Identifiers 1

Medicaid1558606962ID

Other Providers at the Same Location NPPES 15

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

STEPHANIE LYNN CALLEN LSW
Counselor (Addiction (Substance Use Disorder))
630 ADDISON AVE W STE 1000
TWIN FALLS, ID 83301
Twin Falls County (208) 736-5048
JESSICA ROWE LSW
Social Worker
630 ADDISON AVE W STE 1000
TWIN FALLS, ID 83301
Twin Falls County (208) 736-5048
KIM L GRATA CADC
Counselor (Addiction (Substance Use Disorder))
630 ADDISON AVE W STE 1000
TWIN FALLS, ID 83301
Twin Falls County (208) 736-5048
PAUL DAVID GUYMON LMSW
Counselor (Addiction (Substance Use Disorder))
630 ADDISON AVE W STE 1000
TWIN FALLS, ID 83301
Twin Falls County (208) 736-5048
DUSTIN BURSON MOORE
Counselor (Mental Health)
630 ADDISON AVE W STE 1000
TWIN FALLS, ID 83301
Twin Falls County (208) 736-5048
KRISTINA BUNN LSW
Social Worker
630 ADDISON AVE W STE 1000
TWIN FALLS, ID 83301
Twin Falls County (208) 736-5048
JEREMY AJETI BS
Case Management
630 ADDISON AVE W STE 1000
TWIN FALLS, ID 83301
Twin Falls County (208) 736-5048
TWIN FALLS COUNTY
Community/Behavioral Health
630 ADDISON AVE W STE 1000
TWIN FALLS, ID 83301
Twin Falls County (208) 736-5048

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 Tammy Park's NPI number?

The NPI number for Tammy Park is 1669895025. It was assigned to this individual provider in the NPPES registry on January 21, 2014.

Where is Tammy Park located?

Tammy Park practices at 630 Addison Ave W Ste 1000, Twin Falls, ID 83301. The listed phone number is (208) 736-5048.

What is Tammy Park'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 Tammy Park was last updated on September 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.