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Tamarra Angelique Greene

Counselor

Behavioral Health & Social Service Providers

2201 S 19th St Ste 200, Tacoma, WA 98405-2961

PECOS Enrollment

This provider is enrolled in PECOS as TAMARRA GREENE.

Based on the most recent information from CMS, provider Tamarra Angelique Greene is legally eligible to order and refer claims for Part B and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 4 days ago.

Profile Details

Provider ID
1659795425
Provider Type
Individual
Full Name
Greene, Tamarra Angelique
Credential
LMHC

Gender
Female
Sole Proprietor
Yes
Enumeration Date
2/13/2014
Last Updated
1/21/2026

Contact Information

Practice Location

2201 S 19th St Ste 200, Tacoma, WA 98405-2961

(253) 697-8400

(253) 697-8590

Mailing Location

PO Box 5299, Ms: 820-5-Pco, Tacoma, WA 98415-0299

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License LH61513110 Washington
Code 104100000X	Description Social Worker Behavioral Health & Social Service Providers	License Unlisted Issuer
Code 101YM0800X	Description Counselor Behavioral Health & Social Service Providers	License 9654442-6009 Utah

Tamarra Angelique Greene

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

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