Mrs Tara Beth Luellen, MA, LPA is a
Psychologist - Clinical based in Raleigh, North Carolina. Mrs Tara Beth Luellen is licensed to practice in North Carolina (license number 4097) and her current practice location is
5838 Six Forks Rd, Suite 200, Raleigh, North Carolina. She can be reached at her office (for appointments etc.) via phone at
(919) 785-9944.
NPI number for Mrs Tara Beth Luellen is 1659678647 and her current mailing address is 617 Ancient Oaks Dr, Holly Springs, North Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1659678647.
Healthcare Provider's Profile
Full Name | Mrs Tara Beth Luellen |
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Gender | Female |
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Speciality | Psychologist - Clinical |
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Location | 5838 Six Forks Rd, Raleigh, North Carolina |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1659678647
- Provider Enumeration Date: 02/28/2011
- Last Update Date: 04/03/2012
Medical Identifiers
Medical identifiers for Mrs Tara Beth Luellen such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1659678647 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 0935 (Kentucky) | Secondary |
103TC0700X | Psychologist - Clinical | 4097 (North Carolina) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Tara Beth Luellen is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Tara Beth Luellen, MA, LPA 617 Ancient Oaks Dr, Holly Springs, NC 27540-7986 Ph: (573) 888-7598 | Mrs Tara Beth Luellen, MA, LPA 5838 Six Forks Rd, Suite 200, Raleigh, NC 27609-3885 Ph: (919) 785-9944 |
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