MEDICARE: TARA FAMILY COUNSELING SERVICES LLC

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	101YM0800X	Mental Health Counselor	LMT1692	FL
2	103TC0700X	Clinical Psychologist	PY5467	FL

General Provider Information

NPI Number	:	1770834160
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TARA FAMILY COUNSELING SERVICES LLC

Provider Business Mailing Address
First Line	:	730 S STERLING AVE
Second Line	:	SUITE 301
City	:	TAMPA
State	:	FL
Zip	:	33609-4542
Country	:	US
Telephone Number	:	813-877-1111
Fax Number	:

Provider Business Practice Location Address
First Line	:	11911 NICKLAUS CIR
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33624-4541
Country	:	US
Telephone Number	:	813-877-1111
Fax Number	:

Authorized Official
Title or Position	:	CLINICAL DIRECTOR
Name	:	JEAN MULLOY
Credential	:	PHD
Telephone Number	:	813-877-1111

Provider Enumeration Date	:	09/25/2012
Last Update Date	:	12/17/2025

Similar Medicare Providers

1316145279 — DR. JEAN MULLOY PH.D.
Practice Location Address:

11911 NICKLAUS CIR
TAMPA, FL
33624-4541

Practice Phone: 813-877-1111
Practice Fax:

1598998965 — DR. THERESA X DAM LOHMILLER M.D.
Practice Location Address:

4541 S DALE MABRY HWY STE 100
TAMPA, FL
33611-1407

Practice Phone: 813-533-7030
Practice Fax: 813-605-6059

1356678841 — MR. RYAN CHARLES MCMAHON MS, ATC, PES
Practice Location Address:

4541 S DALE MABRY HWY
TAMPA, FL
33611-1407

Practice Phone: 813-684-2663
Practice Fax: 908-685-2413

1710363957 — ORTHOPAEDIC MEDICAL GROUP OF TAMPA BAY PA
Practice Location Address:

4541 S DALE MABRY HWY
TAMPA, FL
33611

Practice Phone: 813-684-2663
Practice Fax: 813-877-3017

1104366277 — DR. ZACHARY MILANO DO
Practice Location Address:

4541 S DALE MABRY HWY STE 100
TAMPA, FL
33611-1407

Practice Phone: 813-533-7030
Practice Fax: 813-605-6059

1134618259 — ALYCIA SAINI MD.
Practice Location Address:

4541 S DALE MABRY HWY STE 100
TAMPA, FL
33611-1407

Practice Phone: 813-533-7030
Practice Fax:

Directions to “TARA FAMILY COUNSELING SERVICES LLC ” 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.