Bleakley, Tara E.
Bleakley, Tara E. is an sole proprietor health care provider with primary practice located at 100 Innwood Dr Ste A , Covington LA 70433-9255. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Bleakley, Tara E. can be contacted via phone (985) 400-9552.Contact Information
Primary practice address
100 Innwood Dr Ste A
Covington LA 70433-9255
Phone: (985) 400-9552
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Professional | 101YP2500X | 4706 | Louisiana |
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 4706 | Louisiana |
Profile Details
NPI number | 1174961635 |
---|---|
LBN Legal business name | Bleakley, Tara E. |
Credentials | Licensed Professional Counselor (LPC) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 6th, 2013 |
Last updated | Oct 10th, 2019 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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