Logan, Tara

Logan, Tara is an individual health care provider with primary practice located at 157 S Kalamazoo Mall Ste 250 , Kalamazoo MI 49007-4828. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Logan, Tara can be contacted via phone (269) 422-0565.

Contact Information

Primary practice address
157 S Kalamazoo Mall Ste 250 Kalamazoo MI 49007-4828
Phone: (269) 422-0565
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 6401018406 Michigan
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 4151000532 Michigan

Profile Details

NPI number 1225646300
LBN Legal business name Logan, Tara
Credentials MA, LLPC, LLMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2020
Last updated Jul 15th, 2020 - about 6 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.

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