Provider Demographics
NPI:1225923881
Name:TARAVELLA COUNSELING
Entity type:Organization
Organization Name:TARAVELLA COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:
Authorized Official - Last Name:TARAVELLA
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:936-615-0534
Mailing Address - Street 1:924 N UNIVERSITY DR
Mailing Address - Street 2:
Mailing Address - City:NACOGDOCHES
Mailing Address - State:TX
Mailing Address - Zip Code:75961-4643
Mailing Address - Country:US
Mailing Address - Phone:936-800-8120
Mailing Address - Fax:
Practice Address - Street 1:924 N UNIVERSITY DR
Practice Address - Street 2:
Practice Address - City:NACOGDOCHES
Practice Address - State:TX
Practice Address - Zip Code:75961-4643
Practice Address - Country:US
Practice Address - Phone:936-800-8120
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-12
Last Update Date:2025-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health