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NPI Code Detail

MEDICARE: TARA BEASON

MEDICARE: TARA BEASON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor

General Provider Information

NPI Number : 1093665358
Entity Type Code : Individual
Provider Name (Legal Business Name) : TARA BEASON
Provider Business Mailing Address
First Line : 10434 JACKSON OAKS WAY
Second Line :
City : KNOXVILLE
State : TN
Zip : 37922-3293
Country : US
Telephone Number : 865-588-3173
Fax Number :
Provider Business Practice Location Address
First Line : 10434 JACKSON OAKS WAY
Second Line :
City : KNOXVILLE
State : TN
Zip : 37922-3293
Country : US
Telephone Number : 865-281-1408
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/28/2026
Last Update Date : 02/10/2026

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Directions to “ TARA BEASON ” Practice Location

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