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General NPI Number Information
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NPI Number | 1679425870
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Entity Type | Organization
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Legal Business Name | TAMAR CC CONSULTING LLC
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Dates
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Enumeration Date | 02/10/2026
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Last Update Date | 02/10/2026
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Provider Practice Location Address
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Address Line | 350 W WOODROW WILSON AVE STE 173-107
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City | JACKSON
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State | MS
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Zip | 39213-7681
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Country | US
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Telephone | 601-236-8300
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Fax | 601-612-0234
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Provider Business Mailing Address
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Address Line | 270 TRACE COLONY PARK DR STE B
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City | RIDGELAND
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State | MS
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Zip | 39157-8810
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Country | US
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Telephone | 601-236-8300
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Fax | 601-612-0234
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | ROSLYN SMITH
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Credential | LPC-S
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Telephone | 601-236-8300
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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 | 101YP2500X
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Taxonomy Name | Professional 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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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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 | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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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 | 3104A0625X
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Taxonomy Name | Assisted Living Facility (Mental Illness)
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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 | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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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 | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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