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General NPI Number Information
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NPI Number | 1225563752
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Entity Type | Organization
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Legal Business Name | TMH PSYCHOTHERAPY CORPORATION
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Dates
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Enumeration Date | 04/21/2017
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Last Update Date | 12/23/2025
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Provider Practice Location Address
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Address Line | 14900 MAGNOLIA BLVD # 57501
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City | SHERMAN OAKS
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State | CA
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Zip | 91403-1330
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Country | US
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Telephone | 626-509-9546
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Fax | 626-517-5085
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Provider Business Mailing Address
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Address Line | PO BOX 2412
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City | LA CROSSE
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State | WI
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Zip | 54602-2412
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Country | US
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Telephone |
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Fax | 626-517-5085
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. TARA HOLMQUIST
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Credential | PSYD
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Telephone | 626-509-9546
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY27888
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License Number State | CA
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