MEDICARE: TARYN SCALA LMHC

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	MH12801	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MH12801	OTHER	FL	FLORIDA DEPARTMENT OF HEALTH LICENSE

General Provider Information

NPI Number	:	1902375330
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TARYN SCALA LMHC

Provider Business Mailing Address
First Line	:	800 PALM TRL STE 200
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33483-5877
Country	:	US
Telephone Number	:	561-771-4800
Fax Number	:

Provider Business Practice Location Address
First Line	:	6801 LAKE WORTH RD STE 202
Second Line	:
City	:	GREENACRES
State	:	FL
Zip	:	33467-2965
Country	:	US
Telephone Number	:	561-249-7335
Fax Number	:	561-455-9988

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

Provider Enumeration Date	:	11/14/2018
Last Update Date	:	11/20/2020

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