Healthcare Provider Details

I. General information

NPI: 1831989581
Provider Name (Legal Business Name): TARA DOSS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/07/2025
Last Update Date: 12/29/2025
Certification Date: 12/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

181 W VALLEY AVE STE 245
BIRMINGHAM AL
35209-3691
US

IV. Provider business mailing address

25789 US HIGHWAY 31
JEMISON AL
35085-7840
US

V. Phone/Fax

Practice location:
  • Phone: 205-690-3916
  • Fax:
Mailing address:
  • Phone: 205-690-3916
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: