Phillips, Tara Michele
Phillips, Tara Michele is an sole proprietor health care provider with primary practice located at 3301 Cobblestone Blvd , Fayetteville GA 30215-7312. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Phillips, Tara Michele can be contacted via phone (770) 756-9924.Contact Information
Primary practice address
3301 Cobblestone Blvd
Fayetteville GA 30215-7312
Phone: (770) 756-9924
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | CSW003731 | Georgia |
Profile Details
| NPI number | 1225331150 |
|---|---|
| LBN Legal business name | Phillips, Tara Michele |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 15th, 2010 |
| Last updated | Dec 15th, 2010 - about 15 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.
Popular Providers
-
Harbin, Meghan
370 Lanier Ave E , Fayetteville GA 30214-2237 -
Merrick, Cynthia Dawn
145 Howard Ln , Fayetteville GA 30215-1848 -
Cerezola, Dorothy
115 Habersham Dr , Fayetteville GA 30214 -
Idigo, Claudette M
101 San Marino Ct , Fayetteville GA 30214-1435 -
Foxx, Dorothy
1572 Highway 85 N Ste 335 , Fayetteville GA 30214-7729 -
May, Faith Louise
110 Chess Chase , Fayetteville GA 30215-4906 -
King, Dale L
115 Habersham Dr , Fayetteville GA 30214 -
Cleveland, Iris Branch
715 Bradley Dr , Fayetteville GA 30214-2030