National Provider Identifier Database

TAMMY GIANNOPOULOS LLC
Mental Health (Including Community Mental Health Center)


Contact Information

TAMMY GIANNOPOULOS, LLC
4402 S 68TH ST SUITE 100
GREENFIELD, WI53220
Phone: 414-331-8167
Fax: 414-321-0552
Website:
Specialty Taxonomy Code
* Mental Health (Including Community Mental Health Center) 261QM0801X

* Indicates primary specialty

NPI Profile & details for TAMMY GIANNOPOULOS, LLC

NPI Number 1295139012
Legal business name
LBN
TAMMY GIANNOPOULOS, LLC
Authorized official TAMMY GIANNOPOULOS - (PSYCHOTHERAPIST)
Entity Organization
Organization subpart No
Enumeration date 10/22/2014
Last updated 10/22/2014 - About 12 years ago
Sole proprietor1 Not specified
Identifiers
  • WI License #: 7779-123
  • WI Medicaid: 100016425

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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