Provider Demographics
NPI:1023598562
Name:TECCE, TARA (MED, EDS, LPCA)
Entity type:Individual
Prefix:
First Name:TARA
Middle Name:
Last Name:TECCE
Suffix:
Gender:F
Credentials:MED, EDS, LPCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:843 ECUSTA RD UNIT A
Mailing Address - Street 2:
Mailing Address - City:BREVARD
Mailing Address - State:NC
Mailing Address - Zip Code:28712-7580
Mailing Address - Country:US
Mailing Address - Phone:941-356-3067
Mailing Address - Fax:
Practice Address - Street 1:RHA BEHAVIORAL HEALTH SERVICES
Practice Address - Street 2:356 BILTMORE AVE
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801
Practice Address - Country:US
Practice Address - Phone:828-254-2700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-15
Last Update Date:2018-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA14193101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional