Provider Demographics
NPI:1639848849
Name:TARA EGAN-HARRIS LCSW INC.
Entity Type:Organization
Organization Name:TARA EGAN-HARRIS LCSW INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:TARA
Authorized Official - Middle Name:HELEN
Authorized Official - Last Name:EGAN-HARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:773-318-3270
Mailing Address - Street 1:429 W GRANT PL APT C
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60614-7524
Mailing Address - Country:US
Mailing Address - Phone:773-318-3270
Mailing Address - Fax:
Practice Address - Street 1:429 W GRANT PL APT C
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60614-7524
Practice Address - Country:US
Practice Address - Phone:773-318-3270
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-10
Last Update Date:2021-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health