Edmondson, Tara Michelle

Edmondson, Tara Michelle is an individual health care provider with primary practice located at 1150 Devereux Dr , League City TX 77573-2043. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Edmondson, Tara Michelle can be contacted via phone (281) 316-5410.

Contact Information

Primary practice address
1150 Devereux Dr League City TX 77573-2043
Fax: (281) 316-5498
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 58924 Texas

Profile Details

NPI number 1053567453
LBN Legal business name Edmondson, Tara Michelle
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2008
Last updated Aug 18th, 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.

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