MEDICARE: TARA MOSIER MSW

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	101Y00000X	Counselor		LA

General Provider Information

NPI Number	:	1215301742
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TARA MOSIER MSW

Provider Business Mailing Address
First Line	:	10001 LAKE FOREST BLVD SUITE 616
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70127
Country	:	US
Telephone Number	:	504-240-3056
Fax Number	:

Provider Business Practice Location Address
First Line	:	10001 LAKE FOREST BLVD STE 616
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70127-6203
Country	:	US
Telephone Number	:	504-240-3056
Fax Number	:

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

Provider Enumeration Date	:	11/20/2015
Last Update Date	:	11/20/2015

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Directions to “ TARA MOSIER MSW” Practice Location

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