Provider Demographics
NPI:1265148563
Name:TARRAO, ALANNA (LCMHC-A, LCAS-A, NCC)
Entity type:Individual
Prefix:
First Name:ALANNA
Middle Name:
Last Name:TARRAO
Suffix:
Gender:F
Credentials:LCMHC-A, LCAS-A, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:824 SUMMER ST
Mailing Address - Street 2:
Mailing Address - City:MOORESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28115-3381
Mailing Address - Country:US
Mailing Address - Phone:631-576-9987
Mailing Address - Fax:
Practice Address - Street 1:378 WILLIAMSON RD STE 207
Practice Address - Street 2:
Practice Address - City:MOORESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28117-5917
Practice Address - Country:US
Practice Address - Phone:704-360-3641
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-30
Last Update Date:2023-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA18493101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health