MEDICARE: TARA RYAN 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	101Y00000X	Counselor	74125	TX
2	101YM0800X	Mental Health Counselor	74125	TX
3	101YP2500X	Professional Counselor	74125	TX

General Provider Information

NPI Number	:	1386171189
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TARA RYAN LPC

Provider Business Mailing Address
First Line	:	6319 MAVERICK OAK DR
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78240-2672
Country	:	US
Telephone Number	:	210-383-7513
Fax Number	:

Provider Business Practice Location Address
First Line	:	6319 MAVERICK OAK DR
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78240-2672
Country	:	US
Telephone Number	:	210-383-7513
Fax Number	:

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

Provider Enumeration Date	:	05/11/2017
Last Update Date	:	05/11/2017

Similar Medicare Providers

1881914000 — GRUPO MEDICO POLICLINICA SAN PEDRO MEDICARE ADVANTAGE
Practice Location Address:

211 CALLE MORSE
ARROYO, PR
00714-2350

Practice Phone: 787-839-3980
Practice Fax: 787-271-2515

1215490917 — MORGAN BROOKE FLETCHER MD
Practice Location Address:

131 W SUNSET RD
SAN ANTONIO, TX
78209-2672

Practice Phone: 210-255-8447
Practice Fax: 210-255-8446

1528702933 — LOMF, INC.
Practice Location Address:

106 S SAN ANTONIO ST
HEARNE, TX
77859-2672

Practice Phone: 979-807-4060
Practice Fax:

1760126775 — LOMF, INC.
Practice Location Address:

106 S SAN ANTONIO ST
HEARNE, TX
77859-2672

Practice Phone: 979-807-4060
Practice Fax:

1962146977 — LOMF, INC.
Practice Location Address:

106 S SAN ANTONIO ST
HEARNE, TX
77859-2672

Practice Phone: 979-807-4060
Practice Fax:

1801889878 — HIDALGO MEDICAL SERVICES
Practice Location Address:

2672 NM HWY 35
SAN LORENZO, NM
88041

Practice Phone: 575-800-1467
Practice Fax: 575-536-3991

Directions to “ TARA RYAN LPC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.