Tara Renee Muma
Individual provider Active NPI Mental Health Counselor · Davidson, NC
NPI 1003527631 · NPPES record last updated Dec 5, 2022
Key facts
- NPI
- 1003527631
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 903 Northeast Dr Ste 201
Davidson, NC 28036-7438 - Phone
- (704) 896-7776
- NPI assigned
- Dec 5, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southlake Counseling & Consulting | Past |
Accepting new patients | |
| Southlake Center for Self Discovery | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
903 Northeast Dr Ste 201
Davidson, NC 28036-7438
Mailing address
903 Northeast Dr Ste 201
Davidson, NC 28036-7438
Phone (704) 896-7776
Other providers in Davidson, NC
- Emmett Fulcher Montgomery
- Rebecca Piles Montgomery
- Lauren Mook
- Kathleen McMahon Morris
- Ms Rapid Answers, LLC
- Myeyedr Optometry of North Carolina, PLLC
- Paul Wayne Natvig
- Mary Nelson
- New Perspectives Counseling and Consultation PLLC
- Jennifer Thi Nguyen
All providers in Davidson, NC · Mental Health Counselor in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 5, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.