Provider Demographics
NPI:1790902419
Name:PARISI, TARA J (LMHC)
Entity Type:Individual
Prefix:
First Name:TARA
Middle Name:J
Last Name:PARISI
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 WOODSIDE DR
Mailing Address - Street 2:
Mailing Address - City:LONDONDERRY
Mailing Address - State:NH
Mailing Address - Zip Code:03053-7417
Mailing Address - Country:US
Mailing Address - Phone:603-548-2196
Mailing Address - Fax:
Practice Address - Street 1:22 WOODSIDE DR
Practice Address - Street 2:
Practice Address - City:LONDONDERRY
Practice Address - State:NH
Practice Address - Zip Code:03053-7417
Practice Address - Country:US
Practice Address - Phone:603-548-2196
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-20
Last Update Date:2023-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH2300101YM0800X
MECC6074101YM0800X
MA5406101YM0800X
NH619101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health