Rodriguez, Tahira Chanta

Rodriguez, Tahira Chanta is an sole proprietor health care provider with primary practice located at 160 Broad St , Bloomfield NJ 07003-2628. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Rodriguez, Tahira Chanta can be contacted via phone (862) 202-5320.

Contact Information

Primary practice address
160 Broad St Bloomfield NJ 07003-2628
Phone: (862) 202-5320
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 37PC00958400 New Jersey

Profile Details

NPI number 1801304134
LBN Legal business name Rodriguez, Tahira Chanta
Credentials MA, LPC, NCC, C-SSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 22nd, 2018
Last updated Jan 14th, 2026 - about 9 months 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

Popular Providers