Tammie J Boulton, CDCA, QMHS

Counselor, Addiction (Substance Use Disorder) in Youngstown, OH. Individual provider (NPI-1).

NPI number1225529787

StatusActive

Last updated in NPPESApr 27, 2026

Details

NPI: 1225529787
Entity type: Individual (NPI-1)
Name: Tammie J Boulton
Credential: CDCA, QMHS
Sex: Female
Sole proprietor: No
Enumeration date: May 21, 2018
Certification date: Apr 27, 2026
Last updated: Apr 27, 2026

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
101YA0400X	Counselor, Addiction (Substance Use Disorder)	CDCA.195837	OH	Yes
171M00000X	Case Manager/Care Coordinator	–	OH
172V00000X	Community Health Worker	–	OH

Practice location

550 W Chalmers Ave
Youngstown, OH 44511-1576

Phone 330-797-0070

Mailing address

527 N Meridian Rd
Youngstown, OH 44509-1227

Phone 330-797-0070 · Fax 330-797-9146

Other practice locations

8255 South Ave
Youngstown, OH 44512-6483

Phone 330-797-0070 · Fax 330-797-9146

527 N Meridian Rd
Youngstown, OH 44509-1227

Phone 330-797-0070 · Fax 330-797-9146

320 High St Ne
Warren, OH 44481-1222

Phone 330-797-0070 · Fax 330-797-9146

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