Henry, Tara
Henry, Tara is an individual health care provider with primary practice located at 26229 N Cranes Mill Rd , Canyon Lake TX 78133-1957. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Henry, Tara can be contacted via phone (830) 935-2800.Contact Information
Primary practice address
26229 N Cranes Mill Rd
Canyon Lake TX 78133-1957
Phone: (830) 935-2800
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X |
Profile Details
| NPI number | 1437838901 |
|---|---|
| LBN Legal business name | Henry, Tara |
| Credentials | LCDC-I |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 12th, 2023 |
| Last updated | Jul 12th, 2023 - about last year |
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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