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Organization
TARA LUCAS LMHC, LLC
Active
Organization
TARA LUCAS LMHC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARA LUCAS (OWNER)
(727) 455-3702
Entity
Organization
Contact information
Practice address
2725 PARK DR, SUITE 2B, CLEARWATER, FL 33763-1023
(727) 455-3702
Mailing address
1210 HAMMOCK PINE BLVD, CLEARWATER, FL 33761-4239
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH13209
FL
Other
Enumeration date
08/02/2016
Last updated
08/02/2016
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