Organization
BEYOND THE CLOUDS COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARA MILLER LCSW (OWNER/COUNSELOR)
(574) 933-1201
Entity
Organization
Contact information
Practice address
505 COLONIAL CT, PLYMOUTH, IN 46563-1860
(574) 933-1201
(574) 968-7404
Mailing address
10811 CARDINAL CIR, PLYMOUTH, IN 46563-7970
(574) 933-1201
(574) 968-7404
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34005729A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1326225004
INDIVIDUAL NPI
—
Enumeration date
07/31/2018
Last updated
07/31/2018
Update your record
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