Healthcare Provider Details

I. General information

NPI: 1124504295
Provider Name (Legal Business Name): TAHARA DEBARROWS LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/12/2018
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 PEARL ST FL 15
HARTFORD CT
06103-4506
US

IV. Provider business mailing address

2550 ALBANY AVE # 1093
WEST HARTFORD CT
06117-2335
US

V. Phone/Fax

Practice location:
  • Phone: 203-307-0414
  • Fax:
Mailing address:
  • Phone: 203-307-0414
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number002603
License Number StateCT
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: