Phyllis Sheila Tainey, MSW LCSW CAC III

NPI #1215045497 in Longmont, Colorado

Provider Information

NPI Number: 1215045497
Entity Type: Individual
Name: Phyllis Sheila Tainey, MSW LCSW CAC III
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: MSW LCSW CAC III
Enumeration Date: Aug 28, 2006
Last Updated: May 12, 2014

Practice Location

Address: 1479 LINCOLN CIR
City: Longmont
State: Colorado
ZIP Code: 80501
Phone: (303) 776-6376

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Social Worker - Clinical — Clinical	1041C0700X	Primary

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