Individual provider Active NPI

Tammy Holland, LCMH

  • Mental Health Counselor
  • Dallas, GA
National Provider Identifier
1508537168
Registry record updated Jan 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC015037 Issued in GA
Practice address
10175 Dallas Acworth Hwy Ste 103-91
Dallas, GA 30132-9300
Phone
(770) 769-6264
NPI assigned
Sep 23, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X PC-0011099 DE
Mental Health Counselor 101YM0800X LPC015037 GA Primary

Addresses

Primary practice location

10175 Dallas Acworth Hwy Ste 103-91
Dallas, GA 30132-9300

Mailing address

10175 Dallas Acworth Hwy Ste 103-91
Dallas, GA 30132-9300
Phone (770) 769-6264

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260121003391 GA Practitioner - Mental Health Counselor 2860979861 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

10175 Dallas Acworth Hwy
Suite 103 91
Dallas, GA 30132

4231 Tattnall Run
Acworth, GA 30101-9559

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PC-0011099DEMDMental Health Counselor
LPC015037GAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Abundant Living Counseling LLC Mental Health CurrentSince Dec 10, 2025 Accepting new patients
Zoe Ministries Inc. Current Accepting new patients

Locations

23000 Sussex Hwy
Seaford, DE 19973
Phone (302) 745-1157

10175 Dallas Acworth Hwy
Ste 10391
Dallas, GA 30132
Phone (770) 769-6264

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1632355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767830400000",
    "number": "1508537168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10175 DALLAS ACWORTH HWY STE 103-91",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301329300",
            "telephone_number": "770-769-6264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10175 DALLAS ACWORTH HWY STE 103-91",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301329300",
            "telephone_number": "770-769-6264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLAND",
        "first_name": "TAMMY",
        "credential": "LCMH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-23",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "DE",
            "license": "PC-0011099",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC015037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, GA

Sources for this page

Verify at the official NPI Registry.