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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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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