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NPI 1326946591

NPI 1326946591 : SOUTHERN TIER MENTAL HEALTH COUNSELING OF HAMBURG : HAMBURG, NY

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General NPI Number Information
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    NPI Number           |    1326946591
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    Entity Type          |    Organization 
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    Legal Business Name  |    SOUTHERN TIER MENTAL HEALTH COUNSELING OF HAMBURG 
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Dates
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    Enumeration Date     |    10/28/2026
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    Last Update Date     |    10/28/2026
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Provider Practice Location Address
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    Address Line         |    4535 SOUTHWESTERN BLVD STE 705A 
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    City                 |    HAMBURG
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    State                |    NY
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    Zip                  |    14075-1870
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    Country              |    US
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    Telephone            |    716-518-6446
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    Fax                  |    716-202-1073
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Provider Business Mailing Address
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    Address Line         |    4535 SOUTHWESTERN BLVD STE 705A 
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    City                 |    HAMBURG
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    State                |    NY
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    Zip                  |    14075-1870
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    Country              |    US
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    Telephone            |    716-518-6446
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    Fax                  |    716-202-1073
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Authorized Official
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    Title or Position    |    OWNER/THERAPIST
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    Name                 |    MRS. TAMMY LYNN MCINTYRE 
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    Credential           |    LMHC-D, CASAC-M, QHP
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    Telephone            |    716-518-6446
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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       |    
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    License Number State |    
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