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Organization
TAG COUNSELING LLC
Active
Organization
TAG COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ADAM NORMAN THARKUR M.A. LMHC MCAP ICADC (OWNER)
(904) 547-0480
Entity
Organization
Contact information
Practice address
2233 PARK AVE STE 302, ORANGE PARK, FL 32073-5569
(305) 803-6029
Mailing address
233 W SILVERTHORN LN, PONTE VEDRA, FL 32081-7001
(305) 803-6029
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
08/17/2020
Last updated
04/13/2023
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