MEDICARE: TARA ANN SAYA LIVINGSTON

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	0016855	CO

General Provider Information

NPI Number	:	1174117030
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TARA ANN SAYA LIVINGSTON

Provider Business Mailing Address
First Line	:	PO BOX 102
Second Line	:
City	:	CONIFER
State	:	CO
Zip	:	80433-0102
Country	:	US
Telephone Number	:	720-722-1789
Fax Number	:

Provider Business Practice Location Address
First Line	:	12424 BIG TIMBER DR UNIT 3
Second Line	:
City	:	CONIFER
State	:	CO
Zip	:	80433-6410
Country	:	US
Telephone Number	:	720-722-1789
Fax Number	:

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

Provider Enumeration Date	:	02/22/2021
Last Update Date	:	04/29/2025

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