TARAH DAVIDSON LLC NPI 1699416669

NPI Information

NPI: 1699416669
Provider Name: TARAH DAVIDSON LLC
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
19000 FOREST BROOK ROAD
GERMANTOWN, MD
ZIP 20874
Phone: (240) 200-4050
Get Directions

TARAH DAVIDSON LLC is a professional counselor in Germantown, MD. TARAH DAVIDSON LLC NPI is 1699416669. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

19000 FOREST BROOK ROAD
GERMANTOWN, MD
ZIP 20874
Phone: (240) 200-4050

The provider's authorized official is Tarah Davidson .
The authorized official title is Owner and has the following contact phone number (240) 200-4050.

The enumeration date for this NPI number is 4/5/2022 and was last updated on 4/5/2022.

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	101YM0800X	Counselor	Mental Health			No
2	101YP2500X	Counselor	Professional			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	888386600	MEDICAID	MARYLAND

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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