MEDICARE: MS. KATHLEEN MARY TUFARO LMHC

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
1	101YM0800X	Mental Health Counselor	MH11154	FL

General Provider Information

NPI Number	:	1255605515
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. KATHLEEN MARY TUFARO LMHC

Provider Business Mailing Address
First Line	:	3420 PRIMROSE WAY
Second Line	:
City	:	PALM HARBOR
State	:	FL
Zip	:	34683-2229
Country	:	US
Telephone Number	:	727-348-3807
Fax Number	:

Provider Business Practice Location Address
First Line	:	3420 PRIMROSE WAY
Second Line	:
City	:	PALM HARBOR
State	:	FL
Zip	:	34683-2229
Country	:	US
Telephone Number	:	727-348-3807
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/05/2012
Last Update Date	:	08/21/2023

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