TARA DANIELLE WIDAK PC NPI 1669849881

NPI Information

NPI: 1669849881
Provider Name: TARA DANIELLE WIDAK, PC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
4501 24 MILE RD STE B
SHELBY TOWNSHIP, MI
ZIP 48316
Phone: (248) 413-5865
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Tara Danielle Widak, PC is a professional counselor in Shelby Township, MI. Tara Danielle Widak, PC NPI is 1669849881. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4501 24 MILE RD STE B
SHELBY TOWNSHIP, MI
ZIP 48316-005
Phone: (248) 413-5865
Fax: (248) 413-5869

The enumeration date for this NPI number is 8/24/2015 and was last updated on 7/6/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	6401014946	MICHIGAN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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