MARY TATUM (NPI# 1225423163) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225423163 |
| Entity Type | Individual |
| Full Name | MARY TATUM |
| Credential | LMHC |
| Practice Address |
515 N Flagler Dr Suite P-300 West Palm Beach FL 33401-4321 |
| Practice Telephone | 5613767271 |
| Mailing Telephone | 5613767271 |
| Enumeration Date | 2015-03-30 |
| Last Update Date | 2016-03-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003033192 | Mary Victoria Tatum | Dentist | 92 Courtenay Dr, Charleston, SC 29403-5742 | 2007-04-19 |
| 1013253871 | Mary E Tatum | Nurse Practitioner | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2012-12-26 |
| 1700107448 | Mary Miller Tatum | Speech-Language Pathologist | 122 Eglin Pkwy Ne, Fort Walton Beach, FL 32548-4917 | 2010-06-16 |
| Street Address |
515 N FLAGLER DR SUITE P-300 |
| City | WEST PALM BEACH |
| State | FL |
| Zip Code | 33401-4321 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598977845 | June Carolyn Sory | Counselor | 515 N Flagler Dr, P-300, West Palm Beach, FL 33401-4321 | 2007-05-07 |
| 1841642311 | June Sory- Psychotherapy & Counseling | Counselor | 515 N Flagler Dr, P-300, West Palm Beach, FL 33401-4321 | 2016-07-08 |
| 1114389871 | Mary K Tatum | Counselor | 515 N Flagler Dr, Suite P-300, West Palm Beach, FL 33401-4321 | 2016-03-22 |
| 1306201439 | A Better You Medical, LLC | Internal Medicine | 515 N Flagler Dr, Suite P300, West Palm Beach, FL 33401-4321 | 2015-12-16 |
| 1245623404 | Home Health Services of The Palm Beaches Inc | Home Health | 515 N Flagler Dr, Suite P-300, West Palm Beach, FL 33401-4321 | 2015-03-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598371882 | Curt David Miller | Nurse Practitioner | 5300 East Avenue West Palm Beach Fl, West Palm Beach, FL 33401 | 2020-09-22 |
| 1699338152 | Carly N Lupo | Social Worker | 700 S Rosemary Ave, Suite 204 Ofc 101, West Palm Beach, FL 33401 | 2019-04-19 |
| 1740752625 | Latasha Harper | Specialist | 512 N St, West Palm Beach, FL 33401 | 2018-12-17 |
| 1124595640 | Elin Nordegren | Counselor | 1555 Palm Beach Lakes Blvd Suite 1560, West Palm Beach, FL 33401 | 2018-11-02 |
| 1205318664 | Phanette Turene | Behavior Technician | 1720 N Congress Ave Apt B207, West Palm Beach, FL 33401 | 2018-09-02 |
| 1790277002 | Ashley Zarda | Developmental Therapist | 253 8th St, West Palm Beach, FL 33401 | 2018-06-01 |
| 1487162988 | Pinnacle Counseling Service Pllc | Social Worker | 1900 S Olive Avenue, West Palm Beach, FL 33401 | 2018-01-18 |
| 1245754027 | Patricia Caroscio | Dental Hygienist | 800 Clematis Street, West Palm Beach, FL 33401 | 2017-08-02 |
| 1255852562 | Dermnow Pa | Dermatology | 1500 N Flasler Dr #, 101, West Palm Beach, FL 33401 | 2017-06-28 |
| 1699204289 | Edward Gerardo Ortiz | Counselor | 1639 Forum Place Suite #7, West Palm Beach, West Palm Beach, FL 33401 | 2017-06-07 |
| Find all providers in zip 33401 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649715335 | The Cave | Counselor | 4610 Portofino Way, 207, West Palm Beach, FL 33409-8154 | 2017-01-04 |
| 1013208610 | Leslie Suarez | Counselor | 1551 Forum Place Building, 400 D&e, West Palm Beach, FL 33401 | 2011-04-29 |
| 1699972299 | Diane Rico | Counselor | 502 37th St, West Palm Beach, FL 33407-4308 | 2007-06-28 |
| 1801930094 | Michelle A Foraker | Counselor | 224 Datura St, Suite 407, West Palm Beach, FL 33401-5624 | 2007-02-19 |
| 1497821532 | Ray Mathieu | Counselor | 126 Lake Constance Dr, West Palm Beach, FL 33411-2426 | 2006-11-28 |
| 1639790629 | Creative Care Healing Counseling & Consulting | Counselor | 410 Evernia St Apt 221, West Palm Beach, FL 33401-5433 | 2020-04-30 |
| 1609497692 | Laura Beth Ward | Counselor | 1700 N Dixie Hwy, West Palm Beach, FL 33407-6504 | 2020-04-30 |
| 1447898630 | Angela Larsh | Counselor | 5305 Greenwood Ave Ste 103, West Palm Beach, FL 33407-2448 | 2019-12-18 |
| 1023463684 | Joyce Anderson Jr. | Counselor | 909 N Dixie Hwy, West Palm Beach, FL 33401-3329 | 2016-05-02 |
| 1205273646 | Dina Macaluso | Counselor | 2976 S Military Trl, West Palm Beach, FL 33415-9200 | 2013-05-24 |
| Find all providers in WEST PALM BEACH | ||||
| City | WEST PALM BEACH |
| Zip Code | 33401 |
Please comment or provide details below to improve the information on MARY TATUM.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.