Provider Demographics
NPI:1922703727
Name:MCGILLCARTER, TAMARA C (EDD, NPT-C, LMHCA)
Entity type:Individual
Prefix:DR
First Name:TAMARA
Middle Name:C
Last Name:MCGILLCARTER
Suffix:
Gender:F
Credentials:EDD, NPT-C, LMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5085 MADISON ST
Mailing Address - Street 2:
Mailing Address - City:GARY
Mailing Address - State:IN
Mailing Address - Zip Code:46408-4642
Mailing Address - Country:US
Mailing Address - Phone:219-427-0866
Mailing Address - Fax:
Practice Address - Street 1:5490 BROADWAY STE 101
Practice Address - Street 2:
Practice Address - City:MERRILLVILLE
Practice Address - State:IN
Practice Address - Zip Code:46410-1676
Practice Address - Country:US
Practice Address - Phone:219-427-0866
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-03
Last Update Date:2025-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN88002816A101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health