Livengood, Tara
Livengood, Tara is an individual health care provider with primary practice located at 1315 W 17Th St Unit 15034 , Panama City FL 32406-7702. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Livengood, Tara can be contacted via phone (850) 276-6401.Contact Information
Primary practice address
1315 W 17Th St Unit 15034
Panama City FL 32406-7702
Phone: (850) 276-6401
Fax: (850) 792-6916
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 39532 | Texas |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PY10222 | Florida |
Profile Details
| NPI number | 1649750753 |
|---|---|
| LBN Legal business name | Livengood, Tara |
| Credentials | PSYD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 17th, 2018 |
| Last updated | Feb 12th, 2025 - about last year |
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.
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