TARA MICHELLE POLSON (NPI# 1538237649) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538237649 |
| Entity Type | Individual |
| Full Name | TARA MICHELLE POLSON |
| Credential | CC |
| Practice Address |
207 Commerce Dr Chesterfield SC 29709 |
| Mailing Address |
Po Box 918 Bennettsville SC 29512 |
| Practice Telephone | 8436232229 |
| Mailing Telephone | 8434540841 |
| Mailing Fax Number | 8434540635 |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 405127 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811256498 | Tara Ann Polson | Psychologist | 1915 Eisenhower Dr, Savannah, GA 31406-5027 | 2012-05-16 |
| Street Address |
207 COMMERCE DR |
| City | CHESTERFIELD |
| State | SC |
| Zip Code | 29709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255964433 | Andrea Jean Horn | Counselor | 207 Perry Wiley Way, Chesterfield, SC 29709 | 2020-02-17 |
| 1851639207 | Jennifer Fuentes Perez | Psychologist | 207 Commerce Drive, Chesterfield, SC 29709 | 2013-01-18 |
| 1114068301 | Turning Point Boys Home, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 3184 Hunts Mill Road, Chesterfield, SC 29709 | 2007-02-09 |
| 1083752505 | William Luke Perdue Sr. | Dentist | 220 South Craig St, Chesterfield, SC 29709 | 2007-02-05 |
| 1497830392 | State of South Carolina | Public Health or Welfare | 203 North Page Street, Chesterfield, SC 29709 | 2006-10-26 |
| 1619089729 | Bonnie J Cundiff | Counselor | 207 Commerce Ave, Chesterfield, SC 29709 | 2006-08-31 |
| 1730291857 | Gregory Lee Demby | Counselor | 207 Commerce Avenue, Tri County Mhc, Chesterfield, SC 29709 | 2006-08-31 |
| 1457369308 | Charles M Clark Dmd Pa | Dentist | 918 Holly St, Chesterfield, SC 29709 | 2006-08-04 |
| 1669023065 | Tonia Michelle Mcdonald | Counselor | 207 Commerce Ave., Chesterfield, SC 29709 | 2019-09-26 |
| 1437705431 | Madyson Elizabeth Scott | Counselor | 207 Commerce Ave, Chesterfield, SC 29709 | 2019-08-15 |
| Find all providers in zip 29709 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720685787 | Patricia Ann Katzfey | Counselor | 1605 Baxter Forest Ridge Ct, Chesterfield, MO 63005-4660 | 2020-10-02 |
| 1447872791 | Jiaying J Meyer | Counselor | 2033 Kehrsboro Dr, Chesterfield, MO 63005-6512 | 2020-05-09 |
| 1700405131 | Claudia Perez | Counselor | 9003 Royal Birkdale Dr, Chesterfield, VA 23832-4408 | 2020-04-15 |
| 1356792295 | Tammy Rudebeck | Counselor | 16503 Lacross Ln, Chesterfield, MO 63005-4607 | 2016-06-22 |
| 1295198133 | Sharon Mae Smith | Counselor | 126 Sykesville Rd, Chesterfield, NJ 08515-2405 | 2016-03-29 |
| 1780056929 | Agape Mind and Body Wellness | Counselor | 7806 Waterman Ln, Chesterfield, VA 23832-9208 | 2015-10-27 |
| 1700273299 | Tangee Moore | Counselor | 6523 Centralia Rd, Chesterfield, VA 23832-6587 | 2015-04-22 |
| 1982942470 | Jericia Vetiss Johnson Robinson | Counselor | 9842 Lori Rd Ste 201, Chesterfield, VA 23832-6656 | 2013-01-18 |
| 1356612402 | Cynthia L Jarrett | Counselor | 31171 23 Mile Rd, Chesterfield, MI 48047-1849 | 2012-01-21 |
| 1386955052 | Bonnie Marie Define | Counselor | 12795 Chesterfield Airport Road, Suite 200, Chesterfield, MO 63005-1423 | 2010-06-28 |
| Find all providers in CHESTERFIELD | ||||
| City | CHESTERFIELD |
| Zip Code | 29709 |
Please comment or provide details below to improve the information on TARA MICHELLE POLSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.