Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Tammy Lynn Roark, LADACII

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1922910280

Tammy Lynn Roark, LADACII is an Addiction (Substance Use Disorder) Counselor in Johnson City, Tennessee. Licensed in Tennessee. Registered with an NPI since 2026.

Licensed in
TN
In the registry since
2026

Practice location Address checks out

1306 Baldridge Dr
Johnson City, TN 37604-2300
Phone: (423) 444-1591
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 1621 (TN)

Record details

NPI number1922910280
Entity typeIndividual (Type 1)
GenderFemale
Credentials LADACII
Sole proprietorNo
NPI enumeratedSeptember 21, 2026
Last updated in NPPESSeptember 21, 2026
Certification dateSeptember 21, 2026

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