Provider Demographics
NPI:1225801921
Name:BARTHEL, TARA KLENA
Entity Type:Individual
Prefix:
First Name:TARA
Middle Name:KLENA
Last Name:BARTHEL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:TARA
Other - Middle Name:LYNN
Other - Last Name:KLENA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:929 ALDERSON AVE
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59101-5820
Mailing Address - Country:US
Mailing Address - Phone:406-670-9658
Mailing Address - Fax:
Practice Address - Street 1:929 ALDERSON AVE
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59101-5820
Practice Address - Country:US
Practice Address - Phone:406-670-9658
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-03
Last Update Date:2023-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT101YM0800X101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health