MEDICARE: TARA ANN BEARDSLEY

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
1	101YP2500X	Professional Counselor	12264	NC
2	101YM0800X	Mental Health Counselor	12264	NC

General Provider Information

NPI Number	:	1134661515
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TARA ANN BEARDSLEY

Provider Business Mailing Address
First Line	:	64 FOREST LAKE DR
Second Line	:
City	:	ASHEVILLE
State	:	NC
Zip	:	28803-9000
Country	:	US
Telephone Number	:	828-677-2695
Fax Number	:	828-372-4575

Provider Business Practice Location Address
First Line	:	29 N MARKET ST
Second Line	:
City	:	ASHEVILLE
State	:	NC
Zip	:	28801-2951
Country	:	US
Telephone Number	:	828-677-2695
Fax Number	:	828-372-4575

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/16/2016
Last Update Date	:	03/02/2026

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Directions to “ TARA ANN BEARDSLEY ” Practice Location

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