Provider Demographics
NPI:1932521721
Name:MESWARD, TARA (MS, LPC, CEDS, NCC)
Entity Type:Individual
Prefix:
First Name:TARA
Middle Name:
Last Name:MESWARD
Suffix:
Gender:F
Credentials:MS, LPC, CEDS, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10685 BEDFORD AVE
Mailing Address - Street 2:SUITE 112
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68134-3684
Mailing Address - Country:US
Mailing Address - Phone:402-898-3242
Mailing Address - Fax:402-502-0642
Practice Address - Street 1:10685 BEDFORD AVE
Practice Address - Street 2:SUITE 112
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68134-3684
Practice Address - Country:US
Practice Address - Phone:402-898-3242
Practice Address - Fax:402-502-0642
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-13
Last Update Date:2015-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE4623101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health