Provider Demographics
NPI:1124269956
Name:HOLCOMB, TAMMY HELEN (LPCS)
Entity type:Individual
Prefix:MRS
First Name:TAMMY
Middle Name:HELEN
Last Name:HOLCOMB
Suffix:
Gender:F
Credentials:LPCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
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 1:115 VICKERY ST
Practice Address - Street 2:
Practice Address - City:ROSWELL
Practice Address - State:GA
Practice Address - Zip Code:30075-4980
Practice Address - Country:US
Practice Address - Phone:770-714-8672
Practice Address - Fax:770-594-7316
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-06
Last Update Date:2019-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCS10785101YM0800X
GA002216101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health