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General NPI Number Information
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NPI Number | 1508537168
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Entity Type | Individual
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Provider Name | TAMMY HOLLAND LCMH
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Gender | Female
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Dates
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Enumeration Date | 09/23/2021
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Last Update Date | 01/08/2026
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Provider Practice Location Address
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Address Line | 10175 DALLAS ACWORTH HWY STE 103-91
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City | DALLAS
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State | GA
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Zip | 30132-9300
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Country | US
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Telephone | 770-769-6264
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Fax |
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Provider Business Mailing Address
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Address Line | 10175 DALLAS ACWORTH HWY STE 103-91
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City | DALLAS
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State | GA
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Zip | 30132-9300
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Country | US
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Telephone | 770-769-6264
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Fax |
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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 | PC-0011099
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License Number State | DE
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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 | LPC015037
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License Number State | GA
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