Greer, Tara L
Greer, Tara L is an individual health care provider with primary practice located at 5750A Southland Dr , Mobile AL 36693-3316. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Greer, Tara L can be contacted via phone (251) 450-2211.Contact Information
Primary practice address
5750A Southland Dr
Mobile AL 36693-3316
Phone: (251) 450-2211
Fax: (251) 662-7297
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 116341 | Alaska |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 4186C | Alabama |
Profile Details
| NPI number | 1700210978 |
|---|---|
| LBN Legal business name | Greer, Tara L |
| Credentials | LICSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 23rd, 2013 |
| Last updated | Oct 18th, 2018 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700210978 | NPPES |
| Alaska | MEDICAID | MH2237 |
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