Provider Demographics
NPI:1376347153
Name:TARRIS MARRIAGE AND FAMILY THERAPY LCSW, PLLC
Entity type:Organization
Organization Name:TARRIS MARRIAGE AND FAMILY THERAPY LCSW, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER-MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:BRITTON
Authorized Official - Middle Name:ADOLFO
Authorized Official - Last Name:TARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW, LMFT
Authorized Official - Phone:315-717-5787
Mailing Address - Street 1:3 ELLINWOOD CT
Mailing Address - Street 2:
Mailing Address - City:NEW HARTFORD
Mailing Address - State:NY
Mailing Address - Zip Code:13413-1116
Mailing Address - Country:US
Mailing Address - Phone:315-717-5787
Mailing Address - Fax:
Practice Address - Street 1:3 ELLINWOOD CT
Practice Address - Street 2:
Practice Address - City:NEW HARTFORD
Practice Address - State:NY
Practice Address - Zip Code:13413-1116
Practice Address - Country:US
Practice Address - Phone:315-717-5787
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-02
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty