Provider Demographics
NPI:1114531191
Name:TAMMY HOLCOMB, PLLC
Entity Type:Organization
Organization Name:TAMMY HOLCOMB, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:TAMMY
Authorized Official - Middle Name:HELEN
Authorized Official - Last Name:HOLCOMB
Authorized Official - Suffix:
Authorized Official - Credentials:LCMHCS
Authorized Official - Phone:919-909-7959
Mailing Address - Street 1:5001 S MIAMI BLVD STE 325
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27703-8526
Mailing Address - Country:US
Mailing Address - Phone:919-909-7959
Mailing Address - Fax:919-246-9390
Practice Address - Street 1:5001 S MIAMI BLVD STE 325
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27703-8526
Practice Address - Country:US
Practice Address - Phone:919-909-7959
Practice Address - Fax:919-246-9390
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-07
Last Update Date:2020-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty