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General NPI Number Information
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NPI Number | 1740501287
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Entity Type | Individual
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Provider Name | TAMRA KAY HALL PHD, LPC, LMHC, CCS
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Gender | Female
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Dates
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Enumeration Date | 06/18/2010
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Last Update Date | 06/27/2025
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Provider Practice Location Address
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Address Line | 11958 CYPRESS LINKS DR
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City | FORT MYERS
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State | FL
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Zip | 33913-8402
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Country | US
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Telephone | 269-830-2110
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Fax |
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Provider Business Mailing Address
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Address Line | 11958 CYPRESS LINKS DR
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City | FORT MYERS
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State | FL
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Zip | 33913-8402
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Country | US
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Telephone | 269-830-2110
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | E.1600084
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | C-02619
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 216934
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License Number State |
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Taxonomy #4
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 6401010124
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License Number State | MI
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Taxonomy #5
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | E.1600084
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License Number State | OH
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Taxonomy #6
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | S-20147
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License Number State | MI
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Taxonomy #7
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH12744
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License Number State | FL
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