Mitchell, Tara Nicole

Mitchell, Tara Nicole is an individual health care provider with primary practice located at 1215 Annapolis Rd , Odenton MD 21113-1344. 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. Mitchell, Tara Nicole can be contacted via phone (410) 975-0067.

Contact Information

Primary practice address
1215 Annapolis Rd Odenton MD 21113-1344
Phone: (410) 975-0067
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X LC12208 Maryland
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LC12208 Maryland

Profile Details

NPI number 1962163907
LBN Legal business name Mitchell, Tara Nicole
Credentials LCPC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2022
Last updated Jan 3rd, 2022 - about 2 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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