| Tara Lucas Lmhc, Llc | |
|
2725 Park Dr Suite 2b Clearwater FL 33763-1023 | |
| (727) 455-3702 | |
| Not Available |
| Full Name | Tara Lucas Lmhc, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2725 Park Dr, Clearwater, Florida |
| Authorized Official Name and Position | Tara Lucas (OWNER) |
| Authorized Official Contact | 7274553702 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tara Lucas Lmhc, Llc 1210 Hammock Pine Blvd Clearwater FL 33761-4239 Ph: () - | Tara Lucas Lmhc, Llc 2725 Park Dr Suite 2b Clearwater FL 33763-1023 Ph: (727) 455-3702 |
| NPI Number | 1962955419 |
|---|---|
| Provider Enumeration Date | 08/02/2016 |
| Last Update Date | 08/02/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962955419 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MH13209 (Florida) | Primary |
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