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General NPI Number Information
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NPI Number | 1063840940
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Entity Type | Individual
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Provider Name | TAMMY MACKINS-HILL LPC
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Gender | Female
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Dates
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Enumeration Date | 10/31/2013
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Last Update Date | 01/09/2025
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Provider Practice Location Address
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Address Line | 4100 N MAIN ST STE 204
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City | COLUMBIA
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State | SC
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Zip | 29203-5800
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Country | US
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Telephone | 803-936-1550
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Fax | 803-306-6848
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Provider Business Mailing Address
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Address Line | 2638 TWO NOTCH RD STE 210
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City | COLUMBIA
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State | SC
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Zip | 29204-1454
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Country | US
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Telephone | 803-936-1550
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Fax | 803-306-6848
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 5689
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 6128
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License Number State | SC
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