MEDICARE: ERIN TARKINGTON 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	101YM0800X	Mental Health Counselor	LMFT-16113	AZ

General Provider Information

NPI Number	:	1982445805
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIN TARKINGTON LMFT

Provider Business Mailing Address
First Line	:	2211 E HIGHLAND AVE
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85016-4835
Country	:	US
Telephone Number	:	623-252-3677
Fax Number	:

Provider Business Practice Location Address
First Line	:	2211 E HIGHLAND AVE
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85016-4835
Country	:	US
Telephone Number	:	623-252-3677
Fax Number	:

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

Provider Enumeration Date	:	06/04/2024
Last Update Date	:	06/04/2024

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