Tara Lee Lawrence, LPC
Individual provider Active NPI Mental Health Counselor · Winchester, ID
NPI 1023708161 · NPPES record last updated May 11, 2023
Key facts
- NPI
- 1023708161
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- COUI-8239 (ID)
- Practice address
- 1995 Winchester Road
Winchester, ID 83555-8355 - Phone
- (509) 520-9869
- NPI assigned
- May 11, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| COUI-8239 | ID | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | COUI-8239 | ID | Yes |
Addresses
Primary practice location
1995 Winchester Road
Winchester, ID 83555-8355
Mailing address
PO Box 89
Winchester, ID 83555-0089
Phone (509) 520-9869
Other practice location 1
156 Cutterbee Pl
Touchet, WA 99360-5003
Phone (509) 520-9869
Other providers in Winchester, ID
- Kay Kelly Anderson
- Antone Counseling and Consulting Services, LLC
- Albana Antone
- Caregiving in Home LLC.
- Lakeside Residential Care Inc
- Thrive Behavioral Health LLC
All providers in Winchester, ID · Mental Health Counselor in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 11, 2023. 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.