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NPI Code Detail

MEDICARE: TARYN I SINCLAIRE LMSW

MEDICARE: TARYN I SINCLAIRE LMSW
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
1101YM0800XMental Health Counselor6801107967MI
2175T00000XPeer Specialist
3104100000XSocial Worker6801115501MI

General Provider Information

NPI Number : 1316415441
Entity Type Code : Individual
Provider Name (Legal Business Name) : TARYN I SINCLAIRE LMSW
Provider Business Mailing Address
First Line : PO BOX 10
Second Line :
City : MASON
State : MI
Zip : 48854-0010
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 108 N LAFAYETTE ST STE D
Second Line :
City : GREENVILLE
State : MI
Zip : 48838-1883
Country : US
Telephone Number : 616-200-4030
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/07/2018
Last Update Date : 07/11/2024

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