Organization
TARA FAMILY COUNSELING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEAN MULLOY PHD (CLINICAL DIRECTOR)
(813) 877-1111
Entity
Organization
Contact information
Practice address
11911 NICKLAUS CIR, TAMPA, FL 33624-4541
(813) 877-1111
Mailing address
730 S STERLING AVE, SUITE 301, TAMPA, FL 33609-4542
(813) 877-1111
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LMT1692
FL
103TC0700X
Clinical Psychologist
Primary
PY5467
FL
Other
Enumeration date
09/25/2012
Last updated
12/17/2025
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