Healthcare Provider Details
I. General information
NPI: 1609516822
Provider Name (Legal Business Name): TAT HEALTH SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/29/2022
Last Update Date: 08/02/2023
Certification Date: 08/02/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
501 MAIN ST
PLATTE CITY MO
64079-8460
US
IV. Provider business mailing address
PO BOX 1912
PLATTE CITY MO
64079-1912
US
V. Phone/Fax
- Phone: 720-447-0603
- Fax: 866-348-4215
- Phone: 720-447-0603
- Fax: 866-348-4215
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101Y00000X |
| Taxonomy | Counselor |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 174H00000X |
| Taxonomy | Health Educator |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QC1500X |
| Taxonomy | Community Health Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MS.
TERRY
ANN
SCOTT
Title or Position: DIRECTOR
Credential: LIFESTYLE COACH
Phone: 720-447-0603