Provider Demographics
NPI:1134872724
Name:TZOURIS, TALIA
Entity type:Individual
Prefix:
First Name:TALIA
Middle Name:
Last Name:TZOURIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:327 W ANAPAMU ST APT B
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93101-6356
Mailing Address - Country:US
Mailing Address - Phone:760-855-0525
Mailing Address - Fax:
Practice Address - Street 1:115 S LA CUMBRE LN STE 200
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93105-5104
Practice Address - Country:US
Practice Address - Phone:805-563-4885
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-02
Last Update Date:2022-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program