TAMMY GIANNOPOULOS, LLC; NPI #1295139012

Contact Information

TAMMY GIANNOPOULOS, LLC

4402 S 68TH ST SUITE 100
GREENFIELD, WI 53220

Phone: 414-331-8167
Fax: 414-321-0552
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Mental Health (Including Community Mental Health Center)	261QM0801X	B4[14]	Community Mental Health Center

Indicates primary specialty

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NPI Profile & details for TAMMY GIANNOPOULOS, LLC

NPI Number 1295139012

LBN Legal business name TAMMY GIANNOPOULOS, LLC

Authorized official TAMMY GIANNOPOULOS - (PSYCHOTHERAPIST)

Entity Organization

Organization subpart ¹ No

Enumeration date 10/22/2014

Last updated 10/22/2014 - About 12 years ago

Identifiers

WI	License #	7779-123
WI	Medicaid	100016425

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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