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General NPI Number Information
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NPI Number | 1003764242
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Entity Type | Organization
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Legal Business Name | THE TAG TEAM PROJECT
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Dates
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Enumeration Date | 03/20/2026
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Last Update Date | 03/20/2026
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Provider Practice Location Address
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Address Line | 18301 E 8 MILE RD STE 109
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City | EASTPOINTE
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State | MI
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Zip | 48021-3226
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Country | US
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Telephone | 888-664-0076
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Fax |
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Provider Business Mailing Address
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Address Line | 18301 E 8 MILE RD STE 109
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City | EASTPOINTE
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State | MI
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Zip | 48021-3226
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Country | US
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Telephone | 888-664-0076
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | TIFFANY HOLMES
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Credential |
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Telephone | 888-664-0076
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 103TH0100X
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Taxonomy Name | Health Service Psychologist
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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