Provider Demographics
NPI:1659783702
Name:TARA M. KAPINOS, NCC, LMHC
Entity Type:Organization
Organization Name:TARA M. KAPINOS, NCC, LMHC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED MENTAL HEALTH COUNSELOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:TARA
Authorized Official - Middle Name:MICHELE
Authorized Official - Last Name:KAPINOS
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:352-343-3347
Mailing Address - Street 1:373 W ALFRED ST
Mailing Address - Street 2:
Mailing Address - City:TAVARES
Mailing Address - State:FL
Mailing Address - Zip Code:32778-3270
Mailing Address - Country:US
Mailing Address - Phone:352-343-3347
Mailing Address - Fax:352-343-7391
Practice Address - Street 1:373 W ALFRED ST
Practice Address - Street 2:
Practice Address - City:TAVARES
Practice Address - State:FL
Practice Address - Zip Code:32778-3270
Practice Address - Country:US
Practice Address - Phone:352-343-3347
Practice Address - Fax:352-343-7391
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-23
Last Update Date:2014-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH7167101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty