Individual
MRS. TAMMY P WYATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
106 W GEORGIA RD, SIMPSONVILLE, SC 29681-2302
(864) 477-0638
Mailing address
141 PERIGON CT, GREENVILLE, SC 29607-5072
(864) 477-0638
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
6359
SC
101YP2500X
Professional Counselor
Primary
6821
SC
Other
Enumeration date
06/12/2017
Last updated
07/23/2025
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