MEDICARE: TARA DENISE RAWLS

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	253Z00000X	In Home Supportive Care Agency
2	261QA0600X	Adult Day Care Clinic/Center

General Provider Information

NPI Number	:	1467021493
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TARA DENISE RAWLS

Provider Business Mailing Address
First Line	:	7 PROFESSIONAL PKWY STE 201
Second Line	:
City	:	HATTIESBURG
State	:	MS
Zip	:	39402-2648
Country	:	US
Telephone Number	:	601-602-4793
Fax Number	:	601-602-4905

Provider Business Practice Location Address
First Line	:	7 PROFESSIONAL PKWY STE 201
Second Line	:
City	:	HATTIESBURG
State	:	MS
Zip	:	39402-2648
Country	:	US
Telephone Number	:	601-602-4793
Fax Number	:	601-602-4905

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

Provider Enumeration Date	:	06/23/2021
Last Update Date	:	12/30/2024

Similar Medicare Providers

1881918019 — DR. ELIZABETH CONERLY SMITH PHD, LPC. BCTMH
Practice Location Address:

7 PROFESSIONAL PKWY STE 101
HATTIESBURG, MS
39402-2648

Practice Phone: 601-325-3932
Practice Fax: 800-489-0211

1245187202 — SOUL CARE EMPOWERMENT INSTITUTE, INC.
Practice Location Address:

7 PROFESSIONAL PKWY STE 101
HATTIESBURG, MS
39402-2648

Practice Phone: 601-781-1661
Practice Fax: 800-489-0211

1669805883 — JUDITH REBECCA HARTFIELD LMSW
Practice Location Address:

7 PROFESSIONAL PKWY STE 103
HATTIESBURG, MS
39402-2648

Practice Phone: 601-264-4984
Practice Fax: 601-264-2648

1578968848 — AUDREY WARD LCSW
Practice Location Address:

7 PROFESSIONAL PKWY STE 101
HATTIESBURG, MS
39402-2648

Practice Phone: 601-408-4331
Practice Fax:

1003596008 — CARE AT HOME MISSISSIPPI
Practice Location Address:

7 PROFESSIONAL PKWY STE 101
HATTIESBURG, MS
39402-2648

Practice Phone: 847-563-0295
Practice Fax: 847-563-3331

1225880628 — ABSOLUTE FAITH HEALTHCARE INC
Practice Location Address:

7 PROFESSIONAL PKWY STE 101-29
HATTIESBURG, MS
39402-2648

Practice Phone: 601-325-7195
Practice Fax:

Directions to “ TARA DENISE RAWLS ” 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.