Tara Forton, LMSW
Individual provider Active NPI Mental Health Counselor · Harrison Township, MI
NPI 1689748121 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1689748121
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 6801082238 (MI)
- Practice address
- 25594 Cortez St
Harrison Township, MI 48045-2028 - Phone
- (586) 321-3029
- Fax
- (586) 465-2341
- NPI assigned
- Nov 17, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801082238 | MI | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Senior Safe, LLC | Mental Health | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 6801082238 | MI | Yes |
Addresses
Primary practice location
25594 Cortez St
Harrison Township, MI 48045-2028
Mailing address
25594 Cortez St
Harrison Township, MI 48045-2028
Phone (586) 321-3029
Other providers in Harrison Township, MI
- Constance Corbat
- Ruth Daly
- Andrea Lynn Dopp
- Angel Antoinette Char'NE English
- Amy Errer
- Vernae Joy Franklin
- Maria Guadalupe Gil
- Joyce Anne Guseila
- Wafaa Hanna
- Henry Ford Health St. John Hospital
All providers in Harrison Township, MI · Mental Health Counselor in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.