Provider Demographics
NPI:1356770184
Name:TARA C. MORSE, LLC
Entity type:Organization
Organization Name:TARA C. MORSE, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:TARA
Authorized Official - Middle Name:C
Authorized Official - Last Name:MORSE
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:612-615-6243
Mailing Address - Street 1:W74N522 WEBSTER AVE
Mailing Address - Street 2:
Mailing Address - City:CEDARBURG
Mailing Address - State:WI
Mailing Address - Zip Code:53012-1816
Mailing Address - Country:US
Mailing Address - Phone:612-615-6243
Mailing Address - Fax:215-249-6206
Practice Address - Street 1:6301 FORBES AVE STE 235
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15217-1725
Practice Address - Country:US
Practice Address - Phone:612-615-6243
Practice Address - Fax:215-249-6206
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-02
Last Update Date:2024-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0173351041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty