# TARA LYNN BURKHOLDER PSYCHIATRIC SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932829363
- **Authorized official:** CHARLES BURKHOLDER (MANAGER)
- **Authorized official phone:** (724) 516-8492

## Contact information

- **Practice address:** 253 ANN DR, GREENSBURG, PA 15601-6659
- **Practice address phone:** (878) 214-1304
- **Mailing address:** 253 ANN DR, GREENSBURG, PA 15601-6659
- **Mailing address phone:** (878) 214-1304

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 08/29/2022
- **Last updated:** 08/29/2022