Spears, Tara Lynn

Spears, Tara Lynn is an sole proprietor health care provider with primary practice located at 1009 Maitland Center Commons Blvd Suite 2007, Maitland FL 32751-7270. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Spears, Tara Lynn can be contacted via phone (407) 405-3257.

Contact Information

Primary practice address
1009 Maitland Center Commons Blvd Suite 2007 Maitland FL 32751-7270
Phone: (407) 405-3257
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 2336 Florida
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 10886 Florida

Profile Details

NPI number 1073739942
LBN Legal business name Spears, Tara Lynn
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 18th, 2007
Last updated Apr 20th, 2015 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1073739942 NPPES
Florida MEDICAID 001742000

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