Tarah Davidson LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

TARAH DAVIDSON LLC

Practice address

19000 Forest Brook Road
Germantown, MD 20874

Phone

(240) 200-4050

NPI assigned

Apr 5, 2022

Organization subpart

Yes

Parent organization

TARAH DAVIDSON LLCAs reported in NPPES

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

Authorized official

Name

Tarah Davidson, LCPC

Title

Owner

Phone

(240) 200-4050

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Positive Focus Holistic Counseling Doing business as

Part of

Tarah Davidson LLC

Locations

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

{
    "created_epoch": "1649116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649116800000",
    "number": "1699416669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12774 WISTERIA DR UNIT 2954",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208757644",
            "telephone_number": "240-200-4050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19000 FOREST BROOK ROAD",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "20874",
            "telephone_number": "240-200-4050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARAH DAVIDSON LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TARAH DAVIDSON LLC",
        "enumeration_date": "2022-04-05",
        "last_updated": "2022-04-05",
        "certification_date": "2022-03-23",
        "status": "A",
        "authorized_official_last_name": "DAVIDSON",
        "authorized_official_first_name": "TARAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-200-4050",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "888386600",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Positive Focus Holistic Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hermla Tamegn
• Laura May Chern Tan, DPT
• Tannaz Poursaeid DDS PA
• Nicholas J Tannous, M.D.
• Joelly Tapia, BEHAVIOR TECHNICIAN
• Faisal Tarakhail
• Mary Warrah Tarawalie, APRN- PMHNP
• Serratu Tayong, BEHAVIOR TECHNICIAN
• Danelle Tchatchoua
• Herve Romarie Tchuissi Dale

• Professional Counselor in Germantown, MD
• Providers in Germantown, MD by specialty
• Professional Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2022; 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.