Dailey, Tara Lee

Dailey, Tara Lee is an individual health care provider with primary practice located at 920 W Broadway St , Hobbs NM 88240-5529. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Dailey, Tara Lee can be contacted via phone (575) 393-3168.

Contact Information

Primary practice address
920 W Broadway St Hobbs NM 88240-5529
Phone: (575) 393-3168
Fax: (575) 397-4659
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X X06107 New Mexico

Profile Details

NPI number 1073770632
LBN Legal business name Dailey, Tara Lee
Credentials LMSW
Entity Individual
Sole proprietor 1 No
Enumeration date May 21st, 2008
Last updated May 21st, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1073770632 NPPES
New Mexico MEDICAID 000463000

Popular Providers