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Ms. Tara Melvin JR., MA
Mental Health Counselor in Orlando, Florida
NPI 1053026013

Tara Melvin JR. is a Mental Health Counselor based in Orlando, FL and is specialized in Mental Health. Tara Melvin JR. practices in Orlando, FL and has the professional credentials of MA. The NPI Number for Tara Melvin JR. is 1053026013 and holds a License No. IMH23504 (Florida).

The current practice location address for Tara Melvin JR. is 11315 Corporate Blvd Ste 105, Orlando, FL and can be reached out via phone at 407-534-0186.

Location: 11315 Corporate Blvd Ste 105, Orlando, FL, 32817-8340
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053026013
Provider Name
Tara Melvin JR.
Credential
MA
Provider Entity Type
Individual
Gender
Female
Address
11315 Corporate Blvd Ste 105, Orlando, FL, 32817-8340
Phone Number
407-534-0186
Fax Number
Provider Enumeration Date
01/13/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
11315 Corporate Blvd Ste 105
City
Orlando
State
Florida
Zip
32817-8340
Phone Number
407-534-0186
Fax Number
person
Provider Business Mailing Address Details
Address
11315 Corporate Blvd Ste 105
City
Orlando
State
Florida
Zip
32817-8340
Phone Number
407-534-0186
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
IMH23504 (Florida)
Definition
Definition to come...
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