MEDICARE: TAZA THERAPY LLC

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	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1285567636
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TAZA THERAPY LLC

Provider Business Mailing Address
First Line	:	444 S STATE ST
Second Line	:
City	:	NEWTOWN
State	:	PA
Zip	:	18940-1945
Country	:	US
Telephone Number	:	267-935-9381
Fax Number	:

Provider Business Practice Location Address
First Line	:	17 BARCLAY ST
Second Line	:
City	:	NEWTOWN
State	:	PA
Zip	:	18940
Country	:	US
Telephone Number	:	267-935-9381
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	TARA C FAIGLE
Credential	:	LPC
Telephone Number	:	267-935-9381

Provider Enumeration Date	:	06/05/2026
Last Update Date	:	06/05/2026

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Directions to “TAZA THERAPY LLC ” Practice Location

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