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NPI Code Detail

MEDICARE: TARA ANN BEARDSLEY

MEDICARE:   TARA ANN BEARDSLEY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor12264NC
2101YM0800XMental Health Counselor12264NC

General Provider Information

NPI Number : 1134661515
Entity Type Code : Individual
Provider Name (Legal Business Name) : TARA ANN BEARDSLEY
Provider Business Mailing Address
First Line : 64 FOREST LAKE DR
Second Line :
City : ASHEVILLE
State : NC
Zip : 28803-9000
Country : US
Telephone Number : 828-677-2695
Fax Number : 828-372-4575
Provider Business Practice Location Address
First Line : 29 N MARKET ST
Second Line :
City : ASHEVILLE
State : NC
Zip : 28801-2951
Country : US
Telephone Number : 828-677-2695
Fax Number : 828-372-4575
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/16/2016
Last Update Date : 03/02/2026

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Directions to “ TARA ANN BEARDSLEY ” Practice Location

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