Dailey, Tara Lee
Dailey, Tara Lee is an individual health care provider with primary practice located at 920 W Broadway St , Hobbs NM 88240-5529. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Dailey, Tara Lee can be contacted via phone (575) 393-3168.Contact Information
Primary practice address
920 W Broadway St
Hobbs NM 88240-5529
Phone: (575) 393-3168
Fax: (575) 397-4659
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | X06107 | New Mexico |
Profile Details
| NPI number | 1073770632 |
|---|---|
| LBN Legal business name | Dailey, Tara Lee |
| Credentials | LMSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 21st, 2008 |
| Last updated | May 21st, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073770632 | NPPES |
| New Mexico | MEDICAID | 000463000 |
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