Provider Demographics
NPI:1053558114
Name:COMMONS, TAMMY SARAH (LMFT)
Entity type:Individual
Prefix:MRS
First Name:TAMMY
Middle Name:SARAH
Last Name:COMMONS
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:TAMMY
Other - Middle Name:SARAH
Other - Last Name:AISENBERG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:128 EVENING STAR DR
Mailing Address - Street 2:
Mailing Address - City:APEX
Mailing Address - State:NC
Mailing Address - Zip Code:27502-4028
Mailing Address - Country:US
Mailing Address - Phone:954-699-6805
Mailing Address - Fax:
Practice Address - Street 1:128 EVENING STAR DR
Practice Address - Street 2:
Practice Address - City:APEX
Practice Address - State:NC
Practice Address - Zip Code:27502-4028
Practice Address - Country:US
Practice Address - Phone:954-699-6805
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-12
Last Update Date:2009-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH8101101YM0800X
NC1253106H00000X
FLMT2138106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health