Provider Demographics
NPI:1225282080
Name:POSNER, TARA DALTON (LPC)
Entity Type:Individual
Prefix:MRS
First Name:TARA
Middle Name:DALTON
Last Name:POSNER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:815 SAVANNAH HWY STE 202
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29407-7351
Mailing Address - Country:US
Mailing Address - Phone:843-556-4541
Mailing Address - Fax:843-555-1599
Practice Address - Street 1:815 SAVANNAH HWY STE 202
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29407-7351
Practice Address - Country:US
Practice Address - Phone:843-556-4541
Practice Address - Fax:843-555-1599
Is Sole Proprietor?:No
Enumeration Date:2008-11-06
Last Update Date:2008-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4651101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional