Tara Deshun Miller, PHD

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

619 Main St
Palmetto, GA 30268-1142

Phone

(770) 703-8502

Fax

(678) 818-4619

NPI assigned

Mar 6, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Real Therapists of Atlanta, LLC.

  • Community Health Clinic/Center
  • Palmetto, GA
  • NPI 1710596994
  NPD Authorized official
• Integrated Concepts for Families, Inc.

  • Community/Behavioral Health Agency
  • Palmetto, GA
  • NPI 1568741478

  Professional

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367884800000",
    "number": "1316077738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 MAIN ST",
            "city": "PALMETTO",
            "state": "GA",
            "postal_code": "302681142",
            "telephone_number": "770-703-8502",
            "fax_number": "678-818-4619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 MAIN ST",
            "city": "PALMETTO",
            "state": "GA",
            "postal_code": "302681142",
            "telephone_number": "770-703-8502",
            "fax_number": "678-818-4619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "TARA",
        "middle_name": "DESHUN",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-06",
        "last_updated": "2013-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Milanieva Latorre, MD
• Haley Leatherbarrow, DDS
• Legacy Healthcare Services Inc
• Elizabeth E Marquetti IV, MD,PHARMACY ,PHD
• Lawanda Miles, LPC
• Darri K Moore
• Frederick Moore, DMD
• Nicole Morales, BCBA
• Kimmeone Morgan, RN
• Noble Grace Home Care LLC

• Professional Counselor in Palmetto, GA
• Providers in Palmetto, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.