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General NPI Number Information
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NPI Number | 1699138628
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Entity Type | Individual
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Provider Name | TAMARA GIVENS LPCC
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Gender | Female
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Dates
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Enumeration Date | 03/29/2016
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Last Update Date | 11/06/2025
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Provider Practice Location Address
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Address Line | 930 MARY ST
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City | LOUISVILLE
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State | KY
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Zip | 40204-2425
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Country | US
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Telephone | 502-560-9285
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Fax | 855-644-3659
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Provider Business Mailing Address
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Address Line | 7603 COTTAGE COVE WAY
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City | LOUISVILLE
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State | KY
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Zip | 40214-3248
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Country | US
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Telephone | 502-644-4101
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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 | 264633
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License Number State | KY
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