MEDICARE: SARAH TARNAKOW COUNSELING AND CONSULTING, LLC

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	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1265189617
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SARAH TARNAKOW COUNSELING AND CONSULTING, LLC

Provider Business Mailing Address
First Line	:	730 ENERGY CENTER BLVD STE 1402A
Second Line	:
City	:	NORTHPORT
State	:	AL
Zip	:	35473-5814
Country	:	US
Telephone Number	:	205-616-2218
Fax Number	:

Provider Business Practice Location Address
First Line	:	730 ENERGY CENTER BLVD STE 1402A
Second Line	:
City	:	NORTHPORT
State	:	AL
Zip	:	35473-5814
Country	:	US
Telephone Number	:	205-616-2218
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SARAH TARNAKOW
Credential	:	LICSW
Telephone Number	:	205-364-2670

Provider Enumeration Date	:	03/06/2022
Last Update Date	:	05/06/2026

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