Organization
TAMARA GILARSKI, LCSW, RPT-S, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TAMARA SUE GILARSKI LCSW, RPT-S (PSYCHOTHERAPIST, PLAY THERAPIST/SUP)
(772) 285-7245
Entity
Organization
Contact information
Practice address
1850 SW FOUNTAINVIEW BLVD, PORT SAINT LUCIE, FL 34986-3443
(772) 285-7245
(772) 340-7214
Mailing address
413 SW MAGNOLIA CV, PORT ST LUCIE, FL 34986-2325
(772) 285-7245
(772) 340-7214
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1407997729
—
FL
Enumeration date
08/10/2020
Last updated
08/10/2020
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