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SARA M TAVORA LLMSW NPI 1003001819

NPI Profile

NPI: 1003001819
Provider Name: SARA M TAVORA, LLMSW
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Organization: BLUE WATER MENTAL HEALTH CLINIC

PECOS Registration: Yes

Address:
520 SUPERIOR ST
PORT HURON, MI
ZIP 48060
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Phone: (810) 984-4202

Sara M Tavora, LLMSW is a healthcare provider in Port Huron, MI. Sara M Tavora, LLMSW NPI is 1003001819. 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:

520 SUPERIOR ST
PORT HURON, MI
ZIP 48060-838
Phone: (810) 984-4202
Fax: (810) 984-8896

The NPI 1003001819 is registered in the Medicare Provider, Enrollment, Chain and Ownership System PECOS.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Psychotherapy, 60 minutes with patient and/or family member (HCPCS:90837)
  • Psychiatric diagnostic evaluation (HCPCS:90791)

The enumeration date for this NPI number is 9/14/2007 and was last updated on 9/14/2007.

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
1101YM0800XCounselorMental Health6801089286MICHIGANYes

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: 9/8/2019

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.