MEDICARE: TARA GILL LMFT

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	106H00000X	Marriage & Family Therapist	130721	CA

General Provider Information

NPI Number	:	1477327625
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TARA GILL LMFT

Provider Business Mailing Address
First Line	:	1512 S FAIRFAX AVE
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90019-4947
Country	:	US
Telephone Number	:	312-823-8071
Fax Number	:

Provider Business Practice Location Address
First Line	:	1512 S FAIRFAX AVE
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90019-4947
Country	:	US
Telephone Number	:	312-823-8071
Fax Number	:

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

Provider Enumeration Date	:	11/08/2023
Last Update Date	:	11/08/2023

Similar Medicare Providers

1174763924 — MRS. DAVIDA ELISE RODRIGUEZ
Practice Location Address:

4947 GAMBIER ST
LOS ANGELES, CA
90032-2118

Practice Phone: 323-532-4709
Practice Fax:

1437595543 — JOANNE BARGE, PHD. INC., A PSYCHOLOGY CORPORATION
Practice Location Address:

12011 SAN VICENTE BLVD STE 510
LOS ANGELES, CA
90049-4947

Practice Phone: 310-472-2329
Practice Fax: 310-472-1399

1619393816 — FIT METHOD, INC.
Practice Location Address:

12011 SAN VICENTE BLVD STE 510 , SUITE 510
LOS ANGELES, CA
90049-4947

Practice Phone: 866-244-8269
Practice Fax:

1144018391 — REIGN RECOVERY INC
Practice Location Address:

1289 S SYCAMORE AVE
LOS ANGELES, CA
90019-1550

Practice Phone: 323-356-3668
Practice Fax:

1326990219 — OLAJIDE HAIR LLC
Practice Location Address:

4312 W PICO BLVD
LOS ANGELES, CA
90019-3133

Practice Phone: 310-853-0395
Practice Fax:

1982584207 — THOMAS PAOLINI
Practice Location Address:

1860 S ORANGE GROVE AVE
LOS ANGELES, CA
90019-5049

Practice Phone: 323-297-3001
Practice Fax:

Directions to “ TARA GILL LMFT” 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.