Organization
TALLACARE HEALTH AND WELLNESS SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CORANTIN TALLA (CEO)
(301) 910-4090
Entity
Organization
Contact information
Practice address
3205 LUCIA WAY, PRINCETON, TX 75407-3427
(301) 910-4090
Mailing address
3205 LUCIA WAY, PRINCETON, TX 75407-3427
(301) 910-4090
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TH0100X
Health Service Psychologist
—
—
163WH0200X
Home Health Registered Nurse
Primary
—
—
364SH0200X
Home Health Clinical Nurse Specialist
—
—
Other
Enumeration date
12/10/2025
Last updated
12/10/2025
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