Tamara M. Wirth, LLC

NPI #1053058891 in Ames, Iowa

Provider Information

NPI Number: 1053058891
Entity Type: Organization
Organization Name: Tamara M. Wirth, LLC
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: May 13, 2022
Last Updated: May 13, 2022

Practice Location

Address: 103 E 6TH ST STE 101
City: Ames
State: Iowa
ZIP Code: 50010-6300
Phone: (515) 337-2872

Authorized Official

Name: TAMARA M WIRTH, LISW
Title: OWERN/PROVIDER
Phone: (515) 337-2872

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Adult Mental Health — Adult Mental Health	261QM0850X
Clinic/Center - Adolescent and Children Mental Health — Adolescent and Children Mental Health	261QM0855X
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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