Provider Demographics
NPI:1740166354
Name:BAUMUNK, TAMMY (LPC)
Entity type:Individual
Prefix:
First Name:TAMMY
Middle Name:
Last Name:BAUMUNK
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:308 W WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:MOUNT CORY
Mailing Address - State:OH
Mailing Address - Zip Code:45868-9773
Mailing Address - Country:US
Mailing Address - Phone:419-889-7962
Mailing Address - Fax:
Practice Address - Street 1:110 W MECHANIC ST
Practice Address - Street 2:
Practice Address - City:WAPAKONETA
Practice Address - State:OH
Practice Address - Zip Code:45895-1908
Practice Address - Country:US
Practice Address - Phone:419-979-9577
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-12
Last Update Date:2025-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC.0600218101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health