MEDICARE: TAMMY S TEW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number	:	1255298725
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAMMY S TEW

Provider Business Mailing Address
First Line	:	2 E LONG CREEK CT
Second Line	:
City	:	SIMPSONVILLE
State	:	SC
Zip	:	29680-6227
Country	:	US
Telephone Number	:	864-884-7480
Fax Number	:

Provider Business Practice Location Address
First Line	:	1187 HOLLAND RD
Second Line	:
City	:	SIMPSONVILLE
State	:	SC
Zip	:	29681-5710
Country	:	US
Telephone Number	:	844-959-4092
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/07/2026
Last Update Date	:	01/07/2026

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Directions to “ TAMMY S TEW ” Practice Location

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