MEDICARE: DR. TARA ROBINSON LCMHC, LPC

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	6271	SC
2	101YM0800X	Mental Health Counselor	8016	NC

General Provider Information

NPI Number	:	1275936668
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TARA ROBINSON LCMHC, LPC

Provider Business Mailing Address
First Line	:	1349 INDIGO CT
Second Line	:
City	:	ROCK HILL
State	:	SC
Zip	:	29730-6456
Country	:	US
Telephone Number	:	252-503-9256
Fax Number	:

Provider Business Practice Location Address
First Line	:	1349 INDIGO CT
Second Line	:
City	:	ROCK HILL
State	:	SC
Zip	:	29730-6456
Country	:	US
Telephone Number	:	252-503-9256
Fax Number	:

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

Provider Enumeration Date	:	09/30/2014
Last Update Date	:	02/18/2025

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