TARRA DUFORD


Address: 5741 Crowntree Ln, Ste.210, Orlando, FL 32829-8047
Phone: 4074852416

TARRA DUFORD (NPI# 1659737237) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1659737237
Entity Type Individual
Full Name TARRA DUFORD
Practice Address 5741 Crowntree Ln
Ste.210
Orlando
FL 32829-8047
Practice Telephone 4074852416
Mailing Telephone 4074852416
Enumeration Date 2016-01-12
Last Update Date 2016-01-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
Behavioral Health & Social Service Providers
Y 101YP2500X Counselor
Specialization: Professional
FL Behavioral Health & Social Service Providers
N 103TA0400X Psychologist
Specialization: Addiction (Substance Use Disorder)
Behavioral Health & Social Service Providers
N 103TF0200X Psychologist
Specialization: Forensic
Behavioral Health & Social Service Providers
N 106H00000X Marriage & Family Therapist Behavioral Health & Social Service Providers

Office Location

Street Address 5741 CROWNTREE LN
STE.210
City ORLANDO
State FL
Zip Code 32829-8047

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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

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Competitor

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City ORLANDO
Zip Code 32829

Improve Information

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Dataset Information

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.

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