Yardley, Tara B
Yardley, Tara B is an individual health care provider with primary practice located at 1100 Nw Knox St , Blue Springs MO 64015-3626. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Yardley, Tara B can be contacted via phone (816) 679-1524.Contact Information
Primary practice address
1100 Nw Knox St
Blue Springs MO 64015-3626
Phone: (816) 679-1524
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 2010021552 | Missouri |
Profile Details
| NPI number | 1326343179 |
|---|---|
| LBN Legal business name | Yardley, Tara B |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 25th, 2011 |
| Last updated | Dec 31st, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326343179 | NPPES |
| Missouri | MEDICAID | 153990 |
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