Provider Demographics
NPI:1639291198
Name:TARTT, GEARLEAN BYRD (EDD)
Entity Type:Individual
Prefix:DR
First Name:GEARLEAN
Middle Name:BYRD
Last Name:TARTT
Suffix:
Gender:F
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7380 W SAND LAKE RD
Mailing Address - Street 2:SUITE 500
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32819-5248
Mailing Address - Country:US
Mailing Address - Phone:407-654-4266
Mailing Address - Fax:407-859-3477
Practice Address - Street 1:7380 W SAND LAKE RD
Practice Address - Street 2:SUITE 500
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32819-5248
Practice Address - Country:US
Practice Address - Phone:407-654-4266
Practice Address - Fax:407-859-3477
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-04
Last Update Date:2015-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH 6584101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health