=====================================================
General NPI Number Information
=====================================================
NPI Number | 1205649795
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | TARA SAUNDERS COUNSELING LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/29/2025
-----------------------------------------------------
Last Update Date | 02/19/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 118 N MAIN ST
-----------------------------------------------------
City | GREENSBURG
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 15601-2419
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 724-309-4282
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 101
-----------------------------------------------------
City | MADISON
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 15663-0101
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 724-309-4282
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | TARA L SAUNDERS
-----------------------------------------------------
Credential | LPC, ATR
-----------------------------------------------------
Telephone | 724-309-4282
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YP2500X
-----------------------------------------------------
Taxonomy Name | Professional Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------