Basic Information
| Provider Information | |||||||||
| NPI: | 1295861532 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MCKEE | ||||||||
| FirstName: | TAMMY | ||||||||
| MiddleName: | P. | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | L.C.S.W. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2719 CHARLEY LN | ||||||||
| Address2: | |||||||||
| City: | BURLINGTON | ||||||||
| State: | NC | ||||||||
| PostalCode: | 272159648 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3362221746 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 2260 S CHURCH ST | ||||||||
| Address2: | SUITE 506 | ||||||||
| City: | BURLINGTON | ||||||||
| State: | NC | ||||||||
| PostalCode: | 272155390 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3362230444 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 02/23/2007 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1041C0700X | C001342 | NC | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.