Tara Coppola Lcsw Inc in Duluth - Clinical
Tara Coppola Lcsw Inc - NPI 1861650996
Tara Coppola Lcsw Inc is a Clinical in Duluth, Georgia. Tara Coppola Lcsw Inc practices all healthcare services and medical treatments related to Clinical. The NPI Number for Tara Coppola Lcsw Inc is 1861650996. The last update date is 2008-05-27.
Tara Coppola Lcsw Inc's current location address is 3235 Ennfield Ln, Duluth, Georgia. You can contact this provider via phone number 6784881476 and fax number 6786083827. The mailing address for Tara Coppola Lcsw Inc is 3235 Ennfield Ln, Duluth, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Tara Coppola Lcsw Inc |
|---|---|
| Address | 3235 Ennfield Ln, Duluth, Georgia |
| Phone Number | 6784881476 |
| Fax Number | 6786083827 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRINCIPAL |
|---|---|
| Authorized Official Name | Coppola Tara |
| Credentials | LCSW |
| Telephone Number | 6784881476 |
NPI Number Detail
| NPI Number | 1861650996 |
|---|---|
| Provider Enumeration Date | 2008-05-27 |
| Last Updated Date | 2008-05-27 |
Provider Mailing Address Detail
| Address | 3235 Ennfield Ln |
|---|---|
| City | Duluth |
| State | Georgia (GA) |
| Post Code | 300967721 |
| Phone Number | 6784881476 |
| Fax Number | 6786083827 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | CSW003058 |
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What is the unique identification code assigned to Tara Coppola Lcsw Inc by the Centers for Medicare & Medicaid Services?
The Tara Coppola Lcsw Inc has been issued the NPI (National Provider Identifier) 1861650996. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Tara Coppola Lcsw Inc's physical address?
The Tara Coppola Lcsw Inc is physically located at 3235 Ennfield Ln, in the city of Duluth, GA, with the postal code 300967721.
What is Tara Coppola Lcsw Inc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Tara Coppola Lcsw Inc is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.
When was the Tara Coppola Lcsw Inc's 1861650996 issued?
The Tara Coppola Lcsw Inc's 1861650996 was issued on 2008-05-27.
When was the information related to Tara Coppola Lcsw Inc most recently updated or refreshed?
The details pertaining to the Tara Coppola Lcsw Inc, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-05-27.